Individual
MRS. CONNIE LYNN FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5507 GLENN HWY, CAMBRIDGE, OH 43725-9753
(740) 432-2508
Mailing address
5507 GLENN HWY, CAMBRIDGE, OH 43725-9753
(740) 432-2508
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
087659
OH
Other
Enumeration date
09/06/2007
Last updated
09/06/2007
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