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1356122576
JACKSON MATTHEW FOWLER
IOWA CITY, IA
NPI
1356122576
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IA 318957)
Enumeration Date
2023-10-12
Last Update Date
2023-10-12
Business Address
JACKSON MATTHEW FOWLER
225 S GRAND AVE 1628
IOWA CITY, IA 52242
Phone number: 319-335-9847
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Mailing Address
JACKSON MATTHEW FOWLER
528 S LUCAS ST
IOWA CITY, IA 52240-5604
Phone number: 708-710-2302
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