Individual
JACKIE L BOWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N
Contact information
Practice address
204 N MAIN ST, RAWSON, OH 45881-9750
(419) 581-0122
Mailing address
204 N MAIN ST, RAWSON, OH 45881-9750
(419) 581-0122
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN102660-MEDS
OH
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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