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1912195538
BONITA S FOWLER
BLUEFIELD, WV
NPI
1912195538
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WV 39884)
Enumeration Date
2007-10-09
Last Update Date
2007-10-09
Business Address
-- BONITA S FOWLER C-FNP
512 CHERRY ST BUILDING I
BLUEFIELD, WV 24701-3341
Phone number: 304-324-2715
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Mailing Address
-- BONITA S FOWLER C-FNP
512 CHERRY ST BUILDING I
BLUEFIELD, WV 24701-3341
Phone number: 304-324-2715
Copy
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