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1083387757
JENNIFER WAGNER
WICHITA, KS
NPI
1083387757
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KS 53-80310-042)
Enumeration Date
2021-07-28
Last Update Date
2021-07-28
Business Address
JENNIFER WAGNER APRN
1947 N FOUNDERS CIR
WICHITA, KS 67206-3548
Phone number: 316-613-4640
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Mailing Address
JENNIFER WAGNER APRN
1947 N FOUNDERS CIR
WICHITA, KS 67206-3548
Phone number: 316-613-4640
Copy
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