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1629369285
AUDREY LANE BOWEN
COLUMBIA, SC
NPI
1629369285
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Former Name
AUDREY LANE MORGAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: SC 4503)
Enumeration Date
2011-04-29
Last Update Date
2017-01-26
Business Address
AUDREY LANE BOWEN FNP
204 NORTH RIDGE ROD
COLUMBIA, SC 29223
Phone number: 803-606-4627
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Mailing Address
AUDREY LANE BOWEN FNP
204 NORTH RIDGE ROD
COLUMBIA, SC 29223
Phone number:
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