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1962110429
LISA MARIE WANGBERG
ROANOKE, VA
NPI
1962110429
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024185593)
Enumeration Date
2022-11-14
Last Update Date
2022-11-14
Business Address
LISA MARIE WANGBERG FNP/DNP
1505 FRANKLIN RD SW
ROANOKE, VA 24016-5206
Phone number: 540-343-7331
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Mailing Address
LISA MARIE WANGBERG FNP/DNP
303 VALLEYWOOD DR
FOREST, VA 24551-2809
Phone number: 907-775-2407
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