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1831611813
BROOKE ALLAN WAGONER PAYTON
DALLAS, TX
NPI
1831611813
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LN0000X Nurse Practitioner, Neonatal
(Licence: TX AP133692)
Enumeration Date
2017-07-12
Last Update Date
2022-08-11
Business Address
BROOKE ALLAN WAGONER PAYTON APRN NNP
5201 HARRY HINES BLVD
DALLAS, TX 75235-7708
Phone number: 214-590-8000
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Mailing Address
BROOKE ALLAN WAGONER PAYTON APRN NNP
1803 WEANNE DR
RICHARDSON, TX 75082-3105
Phone number: 214-343-2440
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