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1003650698
BREVAN ALAN BOWMAN
JONESBORO, AR
NPI
1003650698
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AR OT-A2027)
Enumeration Date
2024-06-19
Last Update Date
2024-06-19
Business Address
BREVAN ALAN BOWMAN COTA
1699 RED WOLF BLVD
JONESBORO, AR 72401-5442
Phone number: 870-336-0021
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Mailing Address
BREVAN ALAN BOWMAN COTA
5056 ABERDEEN RD
JONESBORO, AR 72405-8184
Phone number:
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