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1396956942
LIONEL THOMAS FOWLER
MYRTLE BEACH, SC
NPI
1396956942
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: SC 1732)
Enumeration Date
2007-05-25
Last Update Date
2007-07-08
Business Address
Dr. LIONEL THOMAS FOWLER dmd
5879 HIGHWAY 707
MYRTLE BEACH, SC 29588-7359
Phone number: 843-650-4707
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Mailing Address
Dr. LIONEL THOMAS FOWLER dmd
2842 HARVARD RD
CHARLESTON, SC 29414-7030
Phone number: 843-556-2421
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