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Individual

MRS. JENNIFER LEE OWENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1804 N 7TH ST, WEST MONROE, LA 71291-4414
(318) 325-2610
(318) 325-7715
Mailing address
1804 N 7TH ST, WEST MONROE, LA 71291-4414
(318) 325-2610
(318) 325-7715

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.200798
LA
363AM0700X
Medical Physician Assistant
5601006633
MI

Other

Enumeration date
04/22/2013
Last updated
03/23/2016
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