LANE GRAY WAGNON

CONWAY, AR
NPI1871756395
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: AR  A02902)
Enumeration Date2008-07-03
Last Update Date2020-08-13
Business Address
Mrs. LANE GRAY WAGNON N.P.
525 WESTERN AVE SUITE 202
CONWAY, AR 72034-4967
Phone number: 501-513-5337
Mailing Address
Mrs. LANE GRAY WAGNON N.P.
525 WESTERN AVE SUITE 202
CONWAY, AR 72034-4967
Phone number: 501-513-5337
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