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1306035209
LISHA INEZ WAGNER
MORRISTOWN, TN
NPI
1306035209
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Former Name
LISHA INEZ MCCRARY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: TN RN100615)
Enumeration Date
2007-10-17
Last Update Date
2007-10-17
Business Address
-- LISHA INEZ WAGNER RN
815 WEST FIFTH NORTH STREET
MORRISTOWN, TN 37814
Phone number: 423-586-5032
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Mailing Address
-- LISHA INEZ WAGNER RN
DEPARTMENT 888182
KNOXVILLE, TN 37995-8182
Phone number: 800-355-3565
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