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1114395852
ASHLEY WAGNER
TUSCALOOSA, AL
NPI
1114395852
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-141241)
Enumeration Date
2015-09-11
Last Update Date
2024-10-04
Business Address
ASHLEY WAGNER CRNP
3302 15TH ST STE 100
TUSCALOOSA, AL 35401-2732
Phone number: 205-558-0877
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Mailing Address
ASHLEY WAGNER CRNP
PO BOX 746063
ATLANTA, GA 30374-6063
Phone number: 312-733-9730
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