JACLYN ANNE WAGNER

FAYETTEVILLE, GA
NPI1720372964
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: GA  RN206617)
Enumeration Date2011-06-06
Last Update Date2011-06-06
Business Address
JACLYN ANNE WAGNER FNP
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214-4526
Phone number: 770-719-7911
Mailing Address
JACLYN ANNE WAGNER FNP
165 WOODBRIDGE PL
BROOKS, GA 30205-1546
Phone number: 904-864-6568
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