Individual
DAWN FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
US HIGHWAY 64, SHIPROCK, NM 87420
(505) 368-5161
Mailing address
PO BOX 1199, SHIPROCK, NM 87420-1199
(505) 368-4984
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R54219
NM
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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