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1104880418
PAMELA E. WAGNER
MINNEAPOLIS, MN
NPI
1104880418
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MN R 129882-4)
Enumeration Date
2006-04-13
Last Update Date
2007-07-08
Business Address
-- PAMELA E. WAGNER CRNA
800 E 28TH ST
MINNEAPOLIS, MN 55407-3723
Phone number: 612-871-7639
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Mailing Address
-- PAMELA E. WAGNER CRNA
2545 CHICAGO AVE SUITE 311
MINNEAPOLIS, MN 55404-4522
Phone number:
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