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1104470988
JAMES LUCAS WAGONER
NACOGDOCHES, TX
NPI
1104470988
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP142434)
Enumeration Date
2019-07-30
Last Update Date
2023-01-19
Business Address
Mr. JAMES LUCAS WAGONER MSN, APRN, FNP-C
1023 N MOUND ST STE E
NACOGDOCHES, TX 75961-4453
Phone number: 936-305-4130
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Mailing Address
Mr. JAMES LUCAS WAGONER MSN, APRN, FNP-C
1023 N MOUND ST STE E
NACOGDOCHES, TX 75961-4453
Phone number: 936-305-4130
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