DONNELLE I. WAGNER

FORT SMITH, AR
NPI1225213812
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AR  ATP000123)
Enumeration Date2008-01-02
Last Update Date2015-09-22
Business Address
-- DONNELLE I. WAGNER DNP
3700 CLIFF DR
FORT SMITH, AR 72903-5954
Phone number: 479-709-7260
Mailing Address
-- DONNELLE I. WAGNER DNP
3700 CLIFF DRIVE
FORT SMITH, AR 72903
Phone number: 479-597-6806
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