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1962496331
PAULA MARIE WAGONER
TAMPA, FL
NPI
1962496331
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: FL 1104442)
Enumeration Date
2005-08-31
Last Update Date
2007-07-13
Business Address
Ms. PAULA MARIE WAGONER ARNP
13000 BRUCE B DOWNS BLVD
TAMPA, FL 33612-4745
Phone number: 813-972-2000
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Mailing Address
Ms. PAULA MARIE WAGONER ARNP
13000 BRUCE B DOWNS BLVD
TAMPA, FL 33612-4745
Phone number: 813-972-2000
Copy
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