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1114742806
MARY ISABEL WAGNER
LOUISVILLE, KY
NPI
1114742806
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-11-19
Last Update Date
2024-11-19
Business Address
MARY ISABEL WAGNER
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202-1702
Phone number: 502-777-0884
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Mailing Address
MARY ISABEL WAGNER
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202-1702
Phone number:
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