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1912363045
ZACHARY FOWLER
NEWTON, NJ
NPI
1912363045
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NJ 25MT00192100)
Enumeration Date
2016-01-05
Last Update Date
2016-01-05
Business Address
-- ZACHARY FOWLER ATC, LAT
601 HEMLOCK DR
NEWTON, NJ 07860-6770
Phone number: 862-268-0968
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Mailing Address
-- ZACHARY FOWLER ATC, LAT
601 HEMLOCK DR
NEWTON, NJ 07860-6770
Phone number: 862-268-0968
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