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1013050095
DEBRA LYNN WAGNER
JACKSONVILLE, FL
NPI
1013050095
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: FL ARNP1422352)
Enumeration Date
2007-02-15
Last Update Date
2007-07-08
Business Address
Ms. DEBRA LYNN WAGNER CNM, ARNP
2080 CHILD ST
JACKSONVILLE, FL 32214-5005
Phone number: 904-542-7300
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Mailing Address
Ms. DEBRA LYNN WAGNER CNM, ARNP
12031 MORNING STAR CT
JACKSONVILLE, FL 32246-1376
Phone number: 904-998-2066
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