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1831468719
JUDITH MARY WAGONER
FORT MYERS, FL
NPI
1831468719
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL ARNP9360341)
Enumeration Date
2011-12-21
Last Update Date
2021-03-30
Business Address
Ms. JUDITH MARY WAGONER NP
9131 COLLEGE POINTE CT
FORT MYERS, FL 33919-3245
Phone number: 239-343-9100
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Mailing Address
Ms. JUDITH MARY WAGONER NP
PO BOX 2147
FORT MYERS, FL 33902-2147
Phone number: 239-343-3174
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