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1053811828
JUSTIN KYLE BOWLES
ARKADELPHIA, AR
NPI
1053811828
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AR 779)
Enumeration Date
2018-02-18
Last Update Date
2018-02-18
Business Address
JUSTIN KYLE BOWLES ATC, LAT
410 OUACHITA ST ATHLETIC TRAINING- SPEC
ARKADELPHIA, AR 71998-0001
Phone number: 870-245-5280
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Mailing Address
JUSTIN KYLE BOWLES ATC, LAT
410 OUACHITA ST OBU BOX 3652
ARKADELPHIA, AR 71998-0001
Phone number: 870-245-5280
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