GWENETH WAGNON

LONG BRANCH, NJ
NPI1457497976
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NJ  26NN06687400)
Enumeration Date2007-01-30
Last Update Date2011-10-14
Business Address
-- GWENETH WAGNON N.P.
300 2ND AVE
LONG BRANCH, NJ 07740-6303
Phone number: 732-923-7790
Mailing Address
-- GWENETH WAGNON N.P.
PO BOX 8000 DEPT 601
BUFFALO, NY 14267-0002
Phone number: 866-295-0041
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