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Individual

MS. TARA BOWMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
344 BRUNER AVE, EVERGREEN, AL 36401-3145
(602) 618-9883
Mailing address
344 BRUNER AVE, EVERGREEN, AL 36401-3145

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
11/12/2014
Last updated
09/05/2019
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