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Individual

KERI S FOWLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
808 ROCKBRIDGE ST, BLUEFIELD, WV 24701-4546
(304) 308-0059
Mailing address
808 ROCKBRIDGE ST, BLUEFIELD, WV 24701
(304) 308-0059

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0402208344
VA

Other

Enumeration date
08/10/2022
Last updated
08/17/2022
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