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1376775098
MARY LANIER HUNTLEY-WAGNER
VIRGINIA BEACH, VA
NPI
1376775098
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024168926)
Enumeration Date
2009-08-13
Last Update Date
2019-12-02
Business Address
MARY LANIER HUNTLEY-WAGNER FNP
813 INDEPENDENCE BLVD
VIRGINIA BEACH, VA 23455-6004
Phone number: 757-333-7625
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Mailing Address
MARY LANIER HUNTLEY-WAGNER FNP
860 OMNI BLVD STE 101
NEWPORT NEWS, VA 23606-4430
Phone number: 757-232-8769
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