LAURIE A WAGNER

ALBUQUERQUE, NM
NPI1063480879
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NM  R32370)
Enumeration Date2006-03-08
Last Update Date2013-07-02
Business Address
-- LAURIE A WAGNER CRNA
4401 MASTHEAD ST NE SUITE 120
ALBUQUERQUE, NM 87109-4493
Phone number: 505-243-7729
Mailing Address
-- LAURIE A WAGNER CRNA
PO BOX 30585
ALBUQUERQUE, NM 87190-0585
Phone number: 505-243-7729
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