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Individual

CHERI LYNN WAGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-FNP

Contact information

Practice address
90 GARRARD SQ, MANCHESTER, KY 40962
(606) 658-2323
(606) 658-6085
Mailing address
1501 HIGHWAY 1524, MANCHESTER, KY 40962-9011
(606) 658-2323
(606) 658-2323

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3010540
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100447310
KY
Enumeration date
10/12/2016
Last updated
08/17/2018
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