JASON RANDEL BOWEN

MENDENHALL, MS
NPI1306182035
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MS  R861662)
Enumeration Date2012-12-28
Last Update Date2012-12-28
Business Address
Mr. JASON RANDEL BOWEN FNP
1827C SIMPSON HIGHWAY 149
MENDENHALL, MS 39114-3439
Phone number: 601-847-2224
Mailing Address
Mr. JASON RANDEL BOWEN FNP
PO BOX 333
HARRISVILLE, MS 39082-0333
Phone number: 601-847-2224
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