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Individual

ANGELA WAUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2720 STONE PARK BLVD, SIOUX CITY, IA 51104-3734
(712) 279-3500
Mailing address
606 LAKE ST, CHADRON, NE 69337-2521
(308) 430-2661

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A144470
IA

Other

Enumeration date
06/27/2016
Last updated
06/27/2016
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