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1679162911
BRENT J FOWLER
GAINESVILLE, GA
NPI
1679162911
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
Enumeration Date
2021-01-12
Last Update Date
2021-01-12
Business Address
Mr. BRENT J FOWLER CSFA
1240 JESSE JEWELL PKWY SE STE 360
GAINESVILLE, GA 30501-3861
Phone number: 770-534-9420
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Mailing Address
Mr. BRENT J FOWLER CSFA
3497 ABBEY WAY
GAINESVILLE, GA 30507-5045
Phone number: 770-530-2732
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