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1063526671
NORMA JEAN WAGNER
BALTIMORE, MD
NPI
1063526671
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: MD D00125)
Enumeration Date
2006-08-19
Last Update Date
2007-07-08
Business Address
Mrs. NORMA JEAN WAGNER RD, LDN
600 N WOLFE ST
BALTIMORE, MD 21287-0005
Phone number: 410-955-6716
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Mailing Address
Mrs. NORMA JEAN WAGNER RD, LDN
404 THACKERY AVE
BALTIMORE, MD 21228-5660
Phone number: 410-788-8526
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