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1225213812
DONNELLE I. WAGNER
FORT SMITH, AR
NPI
1225213812
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AR ATP000123)
Enumeration Date
2008-01-02
Last Update Date
2024-09-13
Business Address
DONNELLE I. WAGNER DNP
4620 ROGERS AVE
FORT SMITH, AR 72903-3149
Phone number: 479-384-5380
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Mailing Address
DONNELLE I. WAGNER DNP
4620 ROGERS AVE
FORT SMITH, AR 72903-3149
Phone number: 479-384-5380
Copy
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