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1104675438
TIMOTHY FOWLES
LEHI, UT
NPI
1104675438
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: UT 5143121-2501)
Enumeration Date
2024-05-17
Last Update Date
2024-05-17
Business Address
TIMOTHY FOWLES
2250 N MILLER CAMPUS DR
LEHI, UT 84043-7233
Phone number: 801-824-6047
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Mailing Address
TIMOTHY FOWLES
PO BOX 1282
SALEM, UT 84653-1282
Phone number: 801-824-6047
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