MRS. Debra Fowler

NPI #1962733535 in Oswego, New York

Provider Information

NPI Number
1962733535
Entity Type
Individual
Name
MRS. Debra Fowler
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Jan 21, 2010
Last Updated
Jan 21, 2010

Practice Location

Address
104 W UTICA ST
Address 2
SUITE 1A
City
Oswego
ZIP Code
13126-3031
Phone
(315) 342-1390

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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