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1285069567
KOURTNEY LANE BOWYER
RALEIGH, NC
NPI
1285069567
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC 2258)
Enumeration Date
2013-09-05
Last Update Date
2013-09-05
Business Address
-- KOURTNEY LANE BOWYER ATC
11200 GOVERNOR MANLY WAY SUITE 309
RALEIGH, NC 27614-8599
Phone number: 919-562-9410
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Mailing Address
-- KOURTNEY LANE BOWYER ATC
20446 KODIAC RD
GOODMAN, MO 64843-9147
Phone number: 417-455-3133
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