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1912569187
GENE MARTIN WIGGS
LAKELAND, FL
NPI
1912569187
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Other Name
MARTY WIGGS
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: FL OS17740)
Enumeration Date
2019-07-08
Last Update Date
2024-12-19
Business Address
GENE MARTIN WIGGS DO
304 E PINE ST # 5280
LAKELAND, FL 33801-4969
Phone number: 863-248-2300
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Mailing Address
GENE MARTIN WIGGS DO
304 E PINE ST # 5280
LAKELAND, FL 33801-4969
Phone number: 863-248-2300
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