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Individual

KERIN BOWEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1027 CRYSTAL RD, ISLAND FALLS, ME 04747
(646) 316-5151
Mailing address
1373 STERLING PL APT A7, BROOKLYN, NY 11213-2919
(803) 629-6699

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
6980
SC
225700000X
Massage Therapist
MT.0021897
CO
225700000X
Massage Therapist
Primary
MT6131
ME

Other

Enumeration date
06/28/2021
Last updated
06/28/2021
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