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1114473873
CHERRY LACRETA BOWEN
ALVA, OK
NPI
1114473873
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OK 743)
Enumeration Date
2016-08-31
Last Update Date
2018-03-20
Business Address
CHERRY LACRETA BOWEN ATC, LAT
709 E OKLAHOMA BLVD
ALVA, OK 73717-7371
Phone number: 361-227-7355
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Mailing Address
CHERRY LACRETA BOWEN ATC, LAT
709 OKLAHOMA BLVD
ALVA, OK 73717-2749
Phone number: 361-227-7355
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