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1366095242
RENEKA SHAVON WIGGINTON
LOUISVILLE, KY
NPI
1366095242
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: KY 3013441)
Enumeration Date
2019-07-19
Last Update Date
2019-08-01
Business Address
Mrs. RENEKA SHAVON WIGGINTON APRN
716 W BROADWAY
LOUISVILLE, KY 40202-2216
Phone number: 502-595-7744
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Mailing Address
Mrs. RENEKA SHAVON WIGGINTON APRN
716 W BROADWAY
LOUISVILLE, KY 40202-2216
Phone number: 502-595-7744
Copy
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