MARY G WAGONER

LAKELAND, FL
NPI1215227426
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: FL  ARNP9232495)
Enumeration Date2011-04-10
Last Update Date2015-05-29
Business Address
-- MARY G WAGONER ARNP
5950 S FLORIDA AVE
LAKELAND, FL 33813-2532
Phone number: 407-438-3557
Mailing Address
-- MARY G WAGONER ARNP
5950 S FLORIDA AVE
LAKELAND, FL 33813-2532
Phone number: 407-438-3557
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