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Individual

MR. GARY ALLEN BOWER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
5301 UNIVERSITY AVE, LUBBOCK, TX 79413-4940
(806) 793-5947
Mailing address
7014 96TH ST, LUBBOCK, TX 79424-8906

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2105099
TX

Other

Enumeration date
12/31/2014
Last updated
12/31/2014
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