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1225653967
MOLLY ANN WAGGONER
KNOXVILLE, TN
NPI
1225653967
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: TN 4115)
Enumeration Date
2020-06-09
Last Update Date
2020-06-09
Business Address
MOLLY ANN WAGGONER PA-C
9050 EXECUTIVE PARK DR STE 100B
KNOXVILLE, TN 37923-4616
Phone number: 865-217-1297
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Mailing Address
MOLLY ANN WAGGONER PA-C
379 MIKE MILLER LN
CLINTON, TN 37716-6545
Phone number: 865-660-8236
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