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1972799344
BRIAN CLARENCE BOWICK
MARIETTA, GA
NPI
1972799344
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA pta001903)
Enumeration Date
2007-09-19
Last Update Date
2007-09-19
Business Address
-- BRIAN CLARENCE BOWICK
2712 CHELWICK DR SW
MARIETTA, GA 30008-8172
Phone number: 843-819-5742
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Mailing Address
-- BRIAN CLARENCE BOWICK
2070 COKER AVE
CHARLESTON, SC 29412-2172
Phone number:
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