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1295307791
LYNN RENEE WAGNER
PORTSMOUTH, VA
NPI
1295307791
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: VA 2021030408)
Enumeration Date
2021-07-14
Last Update Date
2021-07-14
Business Address
LYNN RENEE WAGNER PMHNP-BC
3300 ACADEMY AVE
PORTSMOUTH, VA 23703-3205
Phone number: 757-483-6404
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Mailing Address
LYNN RENEE WAGNER PMHNP-BC
144 WRECK SHOAL DR
NEWPORT NEWS, VA 23606-1947
Phone number: 757-719-5060
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