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1407205404
DELANCEY FOWLER
DOTHAN, AL
NPI
1407205404
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-143521)
Enumeration Date
2016-06-09
Last Update Date
2016-06-09
Business Address
-- DELANCEY FOWLER
126 CLINIC DR
DOTHAN, AL 36303-1980
Phone number: 334-793-1881
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Mailing Address
-- DELANCEY FOWLER
126 CLINIC DR
DOTHAN, AL 36303-1980
Phone number: 334-793-1881
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