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1003556432
ISAAC BOWEN
BRONX, NY
NPI
1003556432
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 37649)
Enumeration Date
2022-04-01
Last Update Date
2022-04-01
Business Address
ISAAC BOWEN
730 KELLY ST
BRONX, NY 10455-1911
Phone number: 718-542-4127
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Mailing Address
ISAAC BOWEN
730 KELLY ST
BRONX, NY 10455-1911
Phone number: 718-542-4127
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