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Individual

GRACE BOWMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6307 LANSDOWNE AVE, PHILADELPHIA, PA 19151-3450
(215) 500-7931
Mailing address
PO BOX 3, DREXEL HILL, PA 19026-0003
(215) 500-7931

Taxonomy

Speciality
Code
Description
License number
State
364SP0812X
Community Psychiatric/Mental Health Clinical Nurse Specialist
Primary
SP034823
PA

Other

Enumeration date
05/18/2026
Last updated
05/18/2026
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