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1174992382
MELISSA DALTON WAGNER
LOUISA, KY
NPI
1174992382
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3009798)
Enumeration Date
2015-09-17
Last Update Date
2024-03-20
Business Address
MELISSA DALTON WAGNER APRN
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938
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Mailing Address
MELISSA DALTON WAGNER APRN
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938
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