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1073648945
SUSAN MARIE DAUGHARTY FOWLER
COEUR DALENE, ID
NPI
1073648945
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: ID M5531)
Enumeration Date
2007-02-22
Last Update Date
2020-10-02
Business Address
Mrs. SUSAN MARIE DAUGHARTY FOWLER MD
2207 IRONWOOD PL
COEUR DALENE, ID 83814
Phone number: 208-667-1200
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Mailing Address
Mrs. SUSAN MARIE DAUGHARTY FOWLER MD
2207 IRONWOOD PL
COEUR DALENE, ID 83814
Phone number: 208-667-1200
Copy