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1861266017
KIMBERLY DAWN WAGNER
CROSSVILLE, TN
NPI
1861266017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 34905)
Enumeration Date
2023-11-08
Last Update Date
2025-01-02
Business Address
KIMBERLY DAWN WAGNER FNP-BC
100 LANTANA RD STE 202
CROSSVILLE, TN 38555-1903
Phone number: 931-484-5141
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Mailing Address
KIMBERLY DAWN WAGNER FNP-BC
100 LANTANA RD STE 202
CROSSVILLE, TN 38555-1903
Phone number: 931-484-5141
Copy
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