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1083344972
DERRICK BOWEN
COLUMBUS, GA
NPI
1083344972
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-06-14
Last Update Date
2022-06-14
Business Address
DERRICK BOWEN
1110 13TH ST STE D
COLUMBUS, GA 31901-2246
Phone number: 706-780-1704
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Mailing Address
DERRICK BOWEN
1110 13TH ST STE D
COLUMBUS, GA 31901-2246
Phone number: 706-780-1704
Copy
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