JO ELLEN DEAN-WAGONER

CHARLESTON, WV
NPI1093749731
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: WV  APRN27802-CRNA)
Enumeration Date2006-07-10
Last Update Date2017-05-04
Business Address
-- JO ELLEN DEAN-WAGONER CRNA
800 PENNSYLVANIA AVE
CHARLESTON, WV 25302-3351
Phone number: 304-388-2470
Mailing Address
-- JO ELLEN DEAN-WAGONER CRNA
800 PENNSYLVANIA AVE
CHARLESTON, WV 25302-3351
Phone number: 304-388-2470
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