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1093015232
IRA FOWLER
RIDGELAND, MS
NPI
1093015232
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MS PT0229)
Enumeration Date
2010-10-21
Last Update Date
2010-10-21
Business Address
-- IRA FOWLER PT
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
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Mailing Address
-- IRA FOWLER PT
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
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