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1164691465
KIMBERLY H WAGNER
ROYSE CITY, TX
NPI
1164691465
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX RN 603948)
Enumeration Date
2008-02-21
Last Update Date
2012-06-04
Business Address
-- KIMBERLY H WAGNER R.N., F.N.P
125 W INTERSTATE 30
ROYSE CITY, TX 75189-7512
Phone number: 903-408-7700
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Mailing Address
-- KIMBERLY H WAGNER R.N., F.N.P
4211 JOE RAMSEY BLVD E SUITE 100
GREENVILLE, TX 75401-7852
Phone number: 903-408-7710
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