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1063096949
CONNIE JEAN WAGNER
MOUNDSVILLE, WV
NPI
1063096949
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2021-05-07
Last Update Date
2021-05-07
Business Address
CONNIE JEAN WAGNER
87 SWIERKOS DR
MOUNDSVILLE, WV 26041-4209
Phone number: 304-843-0910
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Mailing Address
CONNIE JEAN WAGNER
300 JONES LN
WELLSBURG, WV 26070-5406
Phone number: 304-843-0910
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