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1174980023
SPENCER FOWLER
ORCHARD PARK, NY
NPI
1174980023
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NE 710)
Enumeration Date
2016-01-23
Last Update Date
2016-01-23
Business Address
-- SPENCER FOWLER ATC
1 BILLS DR
ORCHARD PARK, NY 14127-2237
Phone number: 913-562-4403
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Mailing Address
-- SPENCER FOWLER ATC
17559 W 158TH ST
OLATHE, KS 66062-6771
Phone number: 913-562-4403
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