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1922289867
LISA WAGGENER
JACKSON, TN
NPI
1922289867
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TN 3085)
Enumeration Date
2007-11-20
Last Update Date
2012-12-10
Business Address
LISA WAGGENER OTR/L
620 SKYLINE DR
JACKSON, TN 38301-3923
Phone number: 615-495-6350
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Mailing Address
LISA WAGGENER OTR/L
441 E CHESTER ST SUITE 104
JACKSON, TN 38301-6313
Phone number: 615-495-6350
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