JACOB BRADLEY WAGNER

MADISON, TN
NPI1376251009
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WC0200X Registered Nurse, Critical Care Medicine
(Licence: TN  267408)
Enumeration Date2022-11-11
Last Update Date2022-11-11
Business Address
JACOB BRADLEY WAGNER
315 HOSPITAL DR
MADISON, TN 37115-5030
Phone number: 615-732-7662
Mailing Address
JACOB BRADLEY WAGNER
315 HOSPITAL DR
MADISON, TN 37115-5030
Phone number: 615-732-7662
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