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1003180860
MONISA DEANNE WAGNER
DANVILLE, PA
NPI
1003180860
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA MA055437)
Enumeration Date
2012-02-26
Last Update Date
2020-12-24
Business Address
Ms. MONISA DEANNE WAGNER
100 N ACADEMY AVE
DANVILLE, PA 17822-1339
Phone number: 570-271-7910
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Mailing Address
Ms. MONISA DEANNE WAGNER
100 N ACADEMY AVE CREDENTIALS DEPT
DANVILLE, PA 17822-4903
Phone number: 570-271-6144
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