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1538530506
LOIS WAGLEY
MISHAWAKA, IN
NPI
1538530506
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71005871A)
Enumeration Date
2015-10-15
Last Update Date
2021-07-06
Business Address
LOIS WAGLEY
420 W 4TH ST
MISHAWAKA, IN 46544-1948
Phone number: 574-307-7673
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Mailing Address
LOIS WAGLEY
420 W 4TH ST
MISHAWAKA, IN 46544-1948
Phone number: 574-307-7673
Copy
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