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1780162560
TAMMY L WAGSTAFF
OKLAHOMA CITY, OK
NPI
1780162560
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK 78819)
Enumeration Date
2018-08-02
Last Update Date
2023-02-10
Business Address
TAMMY L WAGSTAFF APRN-CNP
7313 S WESTERN AVE
OKLAHOMA CITY, OK 73139-2007
Phone number: 405-251-8884
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Mailing Address
TAMMY L WAGSTAFF APRN-CNP
102 WOODMONT BLVD STE 600
NASHVILLE, TN 37205-5250
Phone number: 615-314-8069
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