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1699789537
D'WAYNE FOWLER
ELLIJAY, GA
NPI
1699789537
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA 9159)
Enumeration Date
2006-07-28
Last Update Date
2007-07-08
Business Address
Dr. D'WAYNE FOWLER DDS
326 N MAIN ST
ELLIJAY, GA 30540-3397
Phone number: 706-635-7453
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Mailing Address
Dr. D'WAYNE FOWLER DDS
326 N MAIN ST
ELLIJAY, GA 30540-3397
Phone number: 706-635-7453
Copy
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