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1083483713
AMBER LEIA WAGGONER
PORTLAND, TX
NPI
1083483713
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1145675)
Enumeration Date
2023-12-21
Last Update Date
2024-01-23
Business Address
AMBER LEIA WAGGONER NP
2413 MEMORIAL PKWY
PORTLAND, TX 78374-3209
Phone number: 361-643-4546
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Mailing Address
AMBER LEIA WAGGONER NP
2413 MEMORIAL PKWY
PORTLAND, TX 78374-3209
Phone number: 361-643-4546
Copy
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