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1982779195
SIDNEY JACK FOWLER
NACOGDOCHES, TX
NPI
1982779195
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 11803)
Enumeration Date
2006-11-22
Last Update Date
2011-07-20
Business Address
Dr. SIDNEY JACK FOWLER DDS
1023 N MOUND ST SUITE D
NACOGDOCHES, TX 75961-4491
Phone number: 936-564-9401
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Mailing Address
Dr. SIDNEY JACK FOWLER DDS
2314 US HIGHWAY 59 S
CARTHAGE, TX 75633-4924
Phone number: 903-690-0969
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