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1427735216
BLAKE LAWRENCE BOWMAN
CAMP LEJEUNE, NC
NPI
1427735216
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: MT DEN-DEN-LIC-25963)
Enumeration Date
2023-07-03
Last Update Date
2023-10-26
Business Address
Dr. BLAKE LAWRENCE BOWMAN DDS
COMMANDING OFFICER, NAVAL HOSPITAL 100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Phone number: 910-451-2208
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Mailing Address
Dr. BLAKE LAWRENCE BOWMAN DDS
COMMANDING OFFICER, NAVAL HOSPITAL 100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Phone number: 910-451-2208
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