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Individual

TONDALA FOWLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CAMS,B.S.

Contact information

Practice address
8811 TEEL PARKWAY , TLC ENTERPRISE,LLC, SUITE 100-5222, FRISCO, TX 75035
(214) 577-8664
(214) 305-6911
Mailing address
8811 TEEL PARKWAY , TLC ENTERPRISE,LLC, SUITE 100-5222, FRISCO, TX 75035
(214) 577-8664
(214) 305-6911

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
14692890
TX

Other

Enumeration date
04/12/2017
Last updated
04/12/2017
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