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1386197697
SCOTT FOWLER
LAUREL, MS
NPI
1386197697
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LC1500X Nurse Practitioner Community Health
(Licence: MS 901535)
Enumeration Date
2016-08-03
Last Update Date
2017-01-31
Business Address
SCOTT FOWLER
117 S 11TH AVE
LAUREL, MS 39440-4312
Phone number: 601-425-3033
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Mailing Address
SCOTT FOWLER
1093 NAQUIN RD
PURVIS, MS 39475-6051
Phone number: 601-520-3982
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