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MEGAN WADDELL LVN

>> Licensed Vocational Nurse >> Nursing Service Providers

Registrant NPI Number: 1558910505

Individual Registrant:
 MEGAN  WADDELL LVN
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1465 MC 22  FOUKE, AR 71837-9109 US
Tel: 903-824-4039  Fax: --

Contact information for business:
8001 S US HIGHWAY 75  SHERMAN, TX 75090-5707 US
Tel: --  Fax: --

Registration Information:
NPI: 1558910505
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y164X00000XNursing Service Providers
Licensed Vocational Nurse
AR120407

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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