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1538566716
LADONNA WAGNER
MANASSAS, VA
NPI
1538566716
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024172214)
Enumeration Date
2014-12-03
Last Update Date
2020-10-06
Business Address
Mrs. LADONNA WAGNER FNP
8569 SUDLEY RD STE B
MANASSAS, VA 20110-3866
Phone number: 703-257-7749
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Mailing Address
Mrs. LADONNA WAGNER FNP
8569 SUDLEY RD STE B
MANASSAS, VA 20110-3866
Phone number: 703-257-7749
Copy
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