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1053943688
MATTHEW FOWLER
CALDWELL, ID
NPI
1053943688
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ID 63745)
Enumeration Date
2020-02-11
Last Update Date
2022-02-21
Business Address
MATTHEW FOWLER AGNP-C
211 E LOGAN ST STE 301
CALDWELL, ID 83605-4882
Phone number: 208-649-4315
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Mailing Address
MATTHEW FOWLER AGNP-C
211 E LOGAN ST STE 301
CALDWELL, ID 83605-4882
Phone number: 208-649-4315
Copy
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