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Individual

DIANA LYNN SOWERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUD, CCC-A

Contact information

Practice address
62 N GRANT AVE STE 101, AMERICAN FORK, UT 84003-1768
(833) 432-7589
Mailing address
62 N GRANT AVE STE 101, AMERICAN FORK, UT 84003-1768
(833) 432-7589

Taxonomy

Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
23002618A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000352569
BLUE CROSS BLUE SHIELD
01
000001004875
ANTHEM BCBS
IN
05
200454890
IN
Enumeration date
04/05/2006
Last updated
09/13/2023
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