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Individual

HEATHER LEIGH BOWYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
4705 S CLYDE MORRIS BLVD, PORT ORANGE, FL 32129-4103
(386) 763-2778
Mailing address
28 ZEOLITE PL, PALM COAST, FL 32164-5229
(386) 263-2145

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
30526
CA
111N00000X
Chiropractor
Primary
DC 9640
FL

Other

Enumeration date
03/05/2007
Last updated
04/08/2011
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