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Individual

POLLY LANE BOWMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
283 AUWAIOLIMU ST APT A, HONOLULU, HI 96813-7717
(714) 318-5121
Mailing address
283 AUWAIOLIMU ST APT A, HONOLULU, HI 96813-7717

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1062480
TX

Other

Enumeration date
05/26/2025
Last updated
05/26/2025
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