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Virgina Dawn Bowling, FOSTER PARENT Valid NPI

Individual provider · Child Mental Illness Respite Care · Yuma, AZ

NPI
1316002017
Type
Individual (Type 1)
Primary specialty
Child Mental Illness Respite Care (Respite Care)
Specialty group
Respite Care Facility
Taxonomy code
385HR2055X
License number
11030 (AZ)
Sex
Female
Sole proprietor
Yes
Enumerated
2006-12-25
Last updated
2007-07-08
Practice location
2829 W 27th Ln
Yuma, AZ 85364-6857
(928) 317-9064

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