Individual
ALECIA KAYE BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
502 N 14TH ST, PERRY, OK 73077-5022
(918) 273-1841
Mailing address
502 N 14TH ST, PERRY, OK 73077-5022
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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