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NORMAJEAN MOWER PHYSICIAN ASSISTANT

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1215196613

Individual Registrant:
 NORMAJEAN  MOWER PHYSICIAN ASSISTANT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
23400 US HIGHWAY 160  WALSENBURG, CO 81089-8100 US
Tel: 719-738-4590  Fax: --

Contact information for business:
23400 US HIGHWAY 160  WALSENBURG, CO 81089-8100 US
Tel: 719-738-4590  Fax: --

Registration Information:
NPI: 1215196613
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
COPA.0001707

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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