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Individual

SURPRENA FOWLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1100 E WENDOVER AVE, GREENSBORO, NC 27405-6713
(336) 641-3218
Mailing address
1005 WILD WOLF DR, GREENSBORO, NC 27406-8283

Taxonomy

Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
Primary
181533
NC

Other

Enumeration date
04/06/2016
Last updated
04/06/2016
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