JULIE WAGNER

PEORIA, IL
NPI1033830823
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209025916)
Enumeration Date2022-09-08
Last Update Date2025-03-20
Business Address
JULIE WAGNER
8914 N KNOXVILLE AVE
PEORIA, IL 61615-1410
Phone number: 309-691-9110
Mailing Address
JULIE WAGNER
1813 PARTRIDGE PT
NORMAL, IL 61761-5656
Phone number:
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