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1588891782
STAR VIVIETTE FOWLER
LAKEWOOD, CO
NPI
1588891782
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CO DR.0051309)
Enumeration Date
2009-06-15
Last Update Date
2015-10-23
Business Address
Dr. STAR VIVIETTE FOWLER D.O.
11750 W 2ND PL SUITE 365
LAKEWOOD, CO 80228-1575
Phone number: 720-321-8280
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Mailing Address
Dr. STAR VIVIETTE FOWLER D.O.
11750 W 2ND PL SUITE 365
LAKEWOOD, CO 80228-1575
Phone number: 720-321-8280
Copy
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