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Individual

ANGELA KAY WIGGINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, IBCLC, RN

Contact information

Practice address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
(479) 380-9290
Mailing address
922 S 14TH ST, JAY, OK 74346-3900
(479) 427-6789

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
83878
OK

Other

Enumeration date
08/29/2019
Last updated
10/02/2025
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