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1811952500
JACK H. FOWLER
MOBILE, AL
NPI
1811952500
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AL 1-062685)
Enumeration Date
2006-04-18
Last Update Date
2009-01-12
Business Address
Mr. JACK H. FOWLER CRNA
6801 AIRPORT BLVD
MOBILE, AL 36608-3709
Phone number: 251-631-3270
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Mailing Address
Mr. JACK H. FOWLER CRNA
612 SHENANDOAH RD W
MOBILE, AL 36608-3353
Phone number: 251-344-3180
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