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1487837753
KIP A BOWEN
JACKSON, MS
NPI
1487837753
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MS 1105)
Enumeration Date
2007-12-10
Last Update Date
2007-12-10
Business Address
Mr. KIP A BOWEN LPC
745 CARLISLE ST
JACKSON, MS 39202-2415
Phone number: 601-974-6251
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Mailing Address
Mr. KIP A BOWEN LPC
745 CARLISLE ST
JACKSON, MS 39202-2415
Phone number: 601-974-6251
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