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1841721123
JESSICA WAGGONER
BATON ROUGE, LA
NPI
1841721123
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: LA 7611)
Enumeration Date
2017-03-27
Last Update Date
2017-03-27
Business Address
-- JESSICA WAGGONER
768 CHEVELLE DR
BATON ROUGE, LA 70806-6503
Phone number: 225-930-0208
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Mailing Address
-- JESSICA WAGGONER
768 CHEVELLE DR
BATON ROUGE, LA 70806-6503
Phone number: 225-930-0208
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