Individual
JENNIFER DAWN BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1505 N OLD NORTH PL, SAND SPRINGS, OK 74063-8989
(918) 245-1116
Mailing address
1505 N OLD NORTH PL, SAND SPRINGS, OK 74063-8989
(918) 245-1116
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/28/2010
Last updated
05/28/2010
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