DEMESHIA WAGONER

TYLER, TX
NPI1760965248
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: TX  324060)
Enumeration Date2018-09-11
Last Update Date2018-09-11
Business Address
DEMESHIA WAGONER
9846 HWY 31 E
TYLER, TX 75705-2329
Phone number: 903-592-8001
Mailing Address
DEMESHIA WAGONER
9846 HWY 31 E
TYLER, TX 75705-2329
Phone number: 903-592-8001
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