Individual
MEGAN KIERANN BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
619 N MAIN ST, MUSKOGEE, OK 74401-4431
(918) 682-8407
Mailing address
10311 OKTAHA RD, OKTAHA, OK 74450-4704
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
261QM0801X
OK
Other
Enumeration date
01/12/2010
Last updated
01/12/2010
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