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1861223430
JONATHAN WAKNINE
AUSTIN, TX
NPI
1861223430
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 1085727)
Enumeration Date
2024-08-13
Last Update Date
2024-08-13
Business Address
Mr. JONATHAN WAKNINE MA, APRN, PMHNP-BC
1710 RED RIVER ST
AUSTIN, TX 78712-1918
Phone number: 512-471-7913
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Mailing Address
Mr. JONATHAN WAKNINE MA, APRN, PMHNP-BC
1710 RED RIVER ST
AUSTIN, TX 78712-1918
Phone number: 512-471-7913
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