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Individual

JEREMIE DON FOWLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRT

Contact information

Practice address
4885 S 900 E, SUITE 107, SALT LAKE CITY, UT 84117-5746
(801) 266-0399
Mailing address
387 DIMAGGIO DR, TOOELE, UT 84074-9297
(435) 882-4476

Taxonomy

Speciality
Code
Description
License number
State
2278P1005X
Pulmonary Rehabilitation Certified Respiratory Therapist
Primary
335516-5701
UT

Other

Enumeration date
06/12/2007
Last updated
07/08/2007
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