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1356691307
CARLA SUZANNE BOWMAN
HATTIESBURG, MS
NPI
1356691307
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MS PTA5149)
Enumeration Date
2012-09-18
Last Update Date
2012-09-18
Business Address
-- CARLA SUZANNE BOWMAN
10 MEDICAL BLVD
HATTIESBURG, MS 39401-7230
Phone number: 601-264-3709
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Mailing Address
-- CARLA SUZANNE BOWMAN
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number:
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