Individual
DESHAUN BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1330 N CLASSEN BLVD, SUITE 302, OKLAHOMA CITY, OK 73106-6835
(405) 606-4441
(405) 225-7326
Mailing address
1330 N CLASSEN BLVD, SUITE 302, OKLAHOMA CITY, OK 73106-6835
(405) 606-4441
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/24/2013
Last updated
12/24/2013
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