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1144241829
JOHN B FOWLER
MADISON, WI
NPI
1144241829
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 233-039)
Enumeration Date
2006-07-21
Last Update Date
2007-07-08
Business Address
-- JOHN B FOWLER
621 SCIENCE DR COMPLIANCE MAIL CODE-2433
MADISON, WI 53711-1074
Phone number: 608-265-4025
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Mailing Address
-- JOHN B FOWLER
621 SCIENCE DR COMPLIANCE MAIL CODE-2433
MADISON, WI 53711-1074
Phone number: 608-265-4025
Copy
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