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Individual

DIANE FOWLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-7800
Mailing address
466 MARKS RD, BRUNSWICK, OH 44212-1038

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA09655
OH

Other

Enumeration date
10/22/2007
Last updated
10/03/2016
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