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1518004761
KENNETH SHANE FOWLER
LAFAYETTE, LA
NPI
1518004761
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223E0200X Dentist Endodontics
(Licence: LA 5326)
Enumeration Date
2007-01-30
Last Update Date
2023-03-23
Business Address
DR. KENNETH SHANE FOWLER D.D.S.
4906 AMBASSADOR CAFFERY PKWY BLDG O
LAFAYETTE, LA 70508-6962
Phone number: 337-981-0144
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Mailing Address
DR. KENNETH SHANE FOWLER D.D.S.
4906 AMBASSADOR CAFFERY PKWY BLDG O
LAFAYETTE, LA 70508-6962
Phone number: 337-981-0144
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