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Individual

MRS. LEAH D BOWSHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.O.

Contact information

Practice address
11406 LOMA LINDA DR, SUITE 407, LOMA LINDA, CA 92354-3711
(909) 558-6272
(909) 558-6248
Mailing address
11406 LOMA LINDA DR, SUITE 407, LOMA LINDA, CA 92354-3711
(909) 558-6272
(909) 558-6248

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CO004142
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
XA0041420
CA
Enumeration date
01/12/2009
Last updated
01/12/2009
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