JUSTIN BLAKE BOWEN

DURANT, OK
NPI1770865230
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2011-09-12
Last Update Date2011-09-12
Business Address
-- JUSTIN BLAKE BOWEN
1604 N WASHINGTON AVE
DURANT, OK 74701-2128
Phone number: 580-920-0909
Mailing Address
-- JUSTIN BLAKE BOWEN
4129 SILO RD
DURANT, OK 74701
Phone number: 580-380-7727
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