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1699394171
BRENDEN MICHAEL LEE FOWLER
APO, AE
NPI
1699394171
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2020-04-14
Last Update Date
2020-04-14
Business Address
BRENDEN MICHAEL LEE FOWLER IDMT
86TH MEDICAL GROUP UNIT 3215
APO, AE 09094
Phone number: 405-388-9873
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Mailing Address
BRENDEN MICHAEL LEE FOWLER IDMT
PSC 2 BOX 8336
APO, AE 09012-0084
Phone number: 405-388-9873
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