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1801201173
TRACY M FOWLER
LIBERAL, KS
NPI
1801201173
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: KS 5376397)
Enumeration Date
2014-06-25
Last Update Date
2017-04-06
Business Address
-- TRACY M FOWLER APRN/PNP
555 W 15TH ST SUITE A
LIBERAL, KS 67901-2467
Phone number: 620-624-0702
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Mailing Address
-- TRACY M FOWLER APRN/PNP
PO BOX 1215
LIBERAL, KS 67905-1215
Phone number: 620-629-6638
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