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1689026262
TATUM R FOWLER
DOTHAN, AL
NPI
1689026262
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AL 1730)
Enumeration Date
2016-07-07
Last Update Date
2016-07-07
Business Address
-- TATUM R FOWLER ATC
345 HEALTHWEST DR
DOTHAN, AL 36303-2053
Phone number: 334-793-2663
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Mailing Address
-- TATUM R FOWLER ATC
PO BOX 729
DOTHAN, AL 36302-0729
Phone number: 334-793-2663
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