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1073532404
TIMOTHY DALE FOWLER
ORLANDO, FL
NPI
1073532404
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 003482)
Enumeration Date
2006-07-18
Last Update Date
2023-06-02
Business Address
Mr. TIMOTHY DALE FOWLER P.A.
601 E ROLLINS ST
ORLANDO, FL 32803-1248
Phone number: 407-543-5732
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Mailing Address
Mr. TIMOTHY DALE FOWLER P.A.
209 N CUTHBERT ST
COLQUITT, GA 39837-3518
Phone number: 229-758-4864
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