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Individual

WENDY ELLEN WAMPLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BA

Contact information

Practice address
2532 4TH AVE E, BIG STONE GAP, VA 24219-3600
(276) 523-4357
(423) 467-3644
Mailing address
1167 SPRATLIN PARK DR, GRAY, TN 37615-6205
(423) 467-3600
(423) 467-3644

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
07/14/2009
Last updated
07/14/2009
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