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1073871976
ANDREA SUE WENNER
TEMPLE, TX
NPI
1073871976
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: TX BP10043663)
Enumeration Date
2012-04-27
Last Update Date
2012-04-27
Business Address
Dr. ANDREA SUE WENNER DO
2401 S 31ST ST
TEMPLE, TX 76508-0001
Phone number: 254-724-9290
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Mailing Address
Dr. ANDREA SUE WENNER DO
161 CARDOVA DR
MAX MEADOWS, VA 24360-3651
Phone number: 936-371-1900
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