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Individual

MRS. COREY ALISON BOWLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC, VATL, EMT

Contact information

Practice address
210 MOUNTAINEER DR, COVINGTON, VA 24426-6331
(540) 863-1700
(540) 863-1705
Mailing address
2936 S FORREST AVE, COVINGTON, VA 24426-2912
(540) 962-5149
(540) 863-1705

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
B081110705
VA
2255A2300X
Athletic Trainer
Primary
0126000890
VA

Other

Enumeration date
01/06/2009
Last updated
01/06/2009
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