Individual
MS. DEBRA LYNNE WAGGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1200 N EAST ST, OLNEY, IL 62450-2432
(618) 395-6243
Mailing address
800 E LOCUST ST, OLNEY, IL 62450-2553
(618) 395-7340
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71001718A
IN
Other
Enumeration date
05/31/2006
Last updated
01/18/2016
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