JUSTIN JIMMY FOWLER

DEL CITY, OK
NPI1871138875
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OK  108084)
Enumeration Date2019-11-13
Last Update Date2019-11-13
Business Address
JUSTIN JIMMY FOWLER APRN; CNP-F
905 VICKIE DR
DEL CITY, OK 73115-3949
Phone number: 580-559-6348
Mailing Address
JUSTIN JIMMY FOWLER APRN; CNP-F
905 VICKIE DR
DEL CITY, OK 73115-3949
Phone number: 580-559-6348
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