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1891295549
MACKENZIE ANN WAGGONER
LEBANON, TN
NPI
1891295549
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN 12258)
Enumeration Date
2018-02-20
Last Update Date
2023-10-26
Business Address
MACKENZIE ANN WAGGONER PT
1035 S HARTMANN DR
LEBANON, TN 37090-4064
Phone number: 615-321-3310
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Mailing Address
MACKENZIE ANN WAGGONER PT
PO BOX 306556
NASHVILLE, TN 37230-6556
Phone number: 615-329-2294
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