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1760091581
SHONNA MARIE WAGAMAN
LEONARDTOWN, MD
NPI
1760091581
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MD R212454)
Enumeration Date
2020-07-28
Last Update Date
2020-09-09
Business Address
SHONNA MARIE WAGAMAN FNP-BC
23000 MOAKLEY ST STE 206
LEONARDTOWN, MD 20650-2917
Phone number: 410-571-2946
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Mailing Address
SHONNA MARIE WAGAMAN FNP-BC
2 PARK CENTER CT STE 200
OWINGS MILLS, MD 21117-4221
Phone number: 410-571-2946
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