Individual
MRS. GRETCHEN LYNNETTE WAGGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
456 W 10TH AVE, 4A, COLUMBUS, OH 43210-1240
(614) 293-8065
(614) 293-6179
Mailing address
14987 STATE RD, OSTRANDER, OH 43061-9508
(740) 666-0004
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A01097
OH
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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