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1760896625
COLLIN BOWE
LAKE CHARLES, LA
NPI
1760896625
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: LA 307923)
Enumeration Date
2014-06-18
Last Update Date
2018-02-19
Business Address
COLLIN BOWE
1717 OAK PARK BLVD FL 3
LAKE CHARLES, LA 70601-8990
Phone number: 337-480-8066
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Mailing Address
COLLIN BOWE
PO BOX 122108 DEPT 2108
DALLAS, TX 75312-2108
Phone number: 337-480-8066
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