MICHAEL SHANE BOWLING

BATON ROUGE, LA
NPI1073260519
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
(Licence: AL  C46945)
Enumeration Date2022-03-04
Last Update Date2023-03-03
Business Address
MICHAEL SHANE BOWLING BOCO, BOCP
5412 DIJON DR
BATON ROUGE, LA 70808-4315
Phone number: 225-615-8693
Mailing Address
MICHAEL SHANE BOWLING BOCO, BOCP
631 COUNTY ROAD 837
BOAZ, AL 35957-8154
Phone number: 256-619-1389
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