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1912183070
BRIAN SCOTT FOWLER
VALLEJO, CA
NPI
1912183070
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-01-18
Last Update Date
2008-01-18
Business Address
-- BRIAN SCOTT FOWLER
301 GEORGIA ST SUITE 355
VALLEJO, CA 94590-5946
Phone number: 707-558-8195
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Mailing Address
-- BRIAN SCOTT FOWLER
301 GEORGIA ST SUITE 355
VALLEJO, CA 94590-5946
Phone number: 707-558-8195
Copy
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