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1073991501
AUDREY WAGAMAN
INDIANAPOLIS, IN
NPI
1073991501
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Additional Taxonomies
363AM0700X Physician Assistant, Medical
Enumeration Date
2015-05-17
Last Update Date
2021-09-10
Business Address
AUDREY WAGAMAN PA-C
8326 NAAB RD
INDIANAPOLIS, IN 46260-1920
Phone number: 317-871-0000
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Mailing Address
AUDREY WAGAMAN PA-C
8326 NAAB RD
INDIANAPOLIS, IN 46260-1920
Phone number: 317-871-0011
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