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1043300841
ELLEN JOY FOWLER
LANSING, MI
NPI
1043300841
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MI 4704092592)
Enumeration Date
2006-10-13
Last Update Date
2007-12-31
Business Address
Ms. ELLEN JOY FOWLER NP
1210 W SAGINAW ST 2ND FLOOR
LANSING, MI 48915-1927
Phone number: 517-364-7575
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Mailing Address
Ms. ELLEN JOY FOWLER NP
PO BOX 13008
LANSING, MI 48901-3008
Phone number: 517-364-6253
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