Provider Information for 1649322892
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Mr. NOLAN WAYNE GARRETT LPC
Sex: Male
NPI: 1649322892
Last Updated: 2011-07-13
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1649322892 | ||||||||
| Enumeration Date | 2007-01-17 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2200 N 25TH ST WACO, TX 76708-3318 United States Phone: 254-741-1883 | Fax:254-741-1883 | ||||||||
| Primary Practice Address | 2200 N 25TH ST WACO, TX 76708-3318 United States Phone: 254-741-1883 | Fax:254-741-1883 | ||||||||
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