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1184700494
KATHRYN LEE MASSEY WAGNER
JONESBORO, AR
NPI
1184700494
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AR 3577)
Enumeration Date
2006-10-29
Last Update Date
2011-01-19
Business Address
Dr. KATHRYN LEE MASSEY WAGNER DDS
2000 FIELDERS RD
JONESBORO, AR 72401-1937
Phone number: 870-972-6985
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Mailing Address
Dr. KATHRYN LEE MASSEY WAGNER DDS
2000 FIELDERS RD
JONESBORO, AR 72401-1937
Phone number: 870-972-6985
Copy
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