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1003136821
JENNIFER BOWLIN CLARK
BRYAN, TX
NPI
1003136821
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 210483)
Enumeration Date
2010-06-03
Last Update Date
2014-04-15
Business Address
JENNIFER BOWLIN CLARK COTA
1318 MEMORIAL DR
BRYAN, TX 77802-5215
Phone number: 979-776-2872
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Mailing Address
JENNIFER BOWLIN CLARK COTA
15166 YERBY RD
IOLA, TX 77861-4321
Phone number: 281-507-9443
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