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1073818878
COURTNEY ANN WAGNER
SAINT LOUIS, MO
NPI
1073818878
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MO 2018002158)
Enumeration Date
2011-01-26
Last Update Date
2022-02-16
Business Address
Ms. COURTNEY ANN WAGNER PA
1 BARNES JEWISH HOSPITAL PLZ # 17300
SAINT LOUIS, MO 63110-1003
Phone number: 314-362-7509
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Mailing Address
Ms. COURTNEY ANN WAGNER PA
660 S EUCLID AVE CAMPUS BOX 8115
SAINT LOUIS, MO 63110
Phone number: 314-273-4985
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