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1215386230
ALAN WADE BOWEN
CLERMONT, FL
NPI
1215386230
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2016-06-09
Last Update Date
2020-08-25
Business Address
ALAN WADE BOWEN ATC
1925 DON WICKHAM DR
CLERMONT, FL 34711-1915
Phone number: 352-404-8956
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Mailing Address
ALAN WADE BOWEN ATC
1040 GULF BREEZE PKWY STE 200
GULF BREEZE, FL 32561-7808
Phone number: 508-916-3715
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