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1740565282
WANDA FAYE KEAGLE
COOKEVILLE, TN
NPI
1740565282
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Former Name
WANDA FAYE WILSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: TN 16167)
Enumeration Date
2011-10-17
Last Update Date
2015-03-09
Business Address
MRS. WANDA FAYE KEAGLE FNP
586 S JEFFERSON AVE STE L
COOKEVILLE, TN 38501-4637
Phone number: 931-854-0050
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Mailing Address
MRS. WANDA FAYE KEAGLE FNP
586 S JEFFERSON AVE STE L
COOKEVILLE, TN 38501-4637
Phone number: 931-854-0050
Copy
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