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1093163784
KIMBERLEE WAGNER
VAN NUYS, CA
NPI
1093163784
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA VN 271004)
Enumeration Date
2016-06-02
Last Update Date
2016-06-02
Business Address
-- KIMBERLEE WAGNER LVN
16360 ROSCOE BLVD 2ND FLOOR
VAN NUYS, CA 91406-1219
Phone number: 818-901-4830
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Mailing Address
-- KIMBERLEE WAGNER LVN
18115 ANDREA CIR N UNIT 1
NORTHRIDGE, CA 91325-1161
Phone number: 818-321-7985
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