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1821642687
RUTH HATTIE WAGNER
MOBILE, AL
NPI
1821642687
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AL 1-087424)
Enumeration Date
2019-07-30
Last Update Date
2019-07-30
Business Address
RUTH HATTIE WAGNER CRNP
3715 DAUPHIN ST STE 4400
MOBILE, AL 36608-1727
Phone number: 251-607-9797
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Mailing Address
RUTH HATTIE WAGNER CRNP
6701 AIRPORT BLVD STE D330
MOBILE, AL 36608-6758
Phone number: 251-607-9797
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