TIA J WAGNER

MARION, IN
NPI1104315704
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: IN  28201834A)
Enumeration Date2018-05-09
Last Update Date2018-05-09
Business Address
Mrs. TIA J WAGNER RN
317 S NORTON ST
MARION, IN 46952-3296
Phone number: 765-664-0101
Mailing Address
Mrs. TIA J WAGNER RN
317 S NORTON ST
MARION, IN 46952-3296
Phone number: 765-664-0101
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