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1043397326
MARILOU WAGNER
SACRAMENTO, CA
NPI
1043397326
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: PA 480)
Enumeration Date
2006-11-01
Last Update Date
2007-07-11
Business Address
Mrs. MARILOU WAGNER CRNA
2025 MORSE AVE
SACRAMENTO, CA 95825-2115
Phone number: 916-973-7696
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Mailing Address
Mrs. MARILOU WAGNER CRNA
2025 MORSE AVE
SACRAMENTO, CA 95825-2115
Phone number: 916-973-7696
Copy
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