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Individual

MR. FRANZ WAGNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 327-4751
Mailing address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 327-4751

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0000048413
TN

Other

Enumeration date
04/28/2008
Last updated
04/28/2008
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