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1588613616
CHERRIE LASHAE WAGNON
JASPER, AL
NPI
1588613616
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-080080)
Enumeration Date
2006-05-08
Last Update Date
2010-01-27
Business Address
Ms. CHERRIE LASHAE WAGNON C.R.N.P.
801 20TH AVE E
JASPER, AL 35501-4070
Phone number: 205-384-0311
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Mailing Address
Ms. CHERRIE LASHAE WAGNON C.R.N.P.
801 20TH AVE E
JASPER, AL 35501-4070
Phone number: 205-384-0311
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