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JACOB REED BOWEN OD

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1639659949

Individual Registrant:
 JACOB REED BOWEN OD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
220 N PINE  MAGNOLIA, AR 71753-2905 US
Tel: 870-234-4444  Fax: 870-234-0420

Contact information for business:
220 N PINE  MAGNOLIA, AR 71753-2905 US
Tel: 870-234-4444  Fax: 870-234-0420

Registration Information:
NPI: 1639659949
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N152W00000XEye and Vision Services Providers
Optometrist
WV2053-IOD
Y152W00000XEye and Vision Services Providers
Optometrist
AR2793

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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