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NPI Profile for MICHELLE L BOWMAN in SALT LAKE CITY, UT.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI Number | 1659645331 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 02/28/2012 | |
| Last updated | 02/28/2012 - About 14 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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MICHELLE L BOWMAN
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MICHELLE L BOWMAN