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1003085184
MICHAEL HILMAR WAGNER
SAINT PAUL, MN
NPI
1003085184
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
133N00000X Nutritionist
(Licence: MN N177)
Enumeration Date
2008-02-22
Last Update Date
2019-01-30
Business Address
MICHAEL HILMAR WAGNER R.D., L.D.
2265 COMO AVE
SAINT PAUL, MN 55108-1737
Phone number: 888-364-5977
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Mailing Address
MICHAEL HILMAR WAGNER R.D., L.D.
2265 COMO AVE
SAINT PAUL, MN 55108-1737
Phone number: 651-645-5323
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