LISA WAGNER

GREENVILLE, SC
NPI1124360078
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: SC  PR28793)
Enumeration Date2013-03-19
Last Update Date2013-03-19
Business Address
-- LISA WAGNER LPN
100 BLASSINGAME RD
GREENVILLE, SC 29605-3304
Phone number: 864-355-3100
Mailing Address
-- LISA WAGNER LPN
100 BLASSINGAME RD
GREENVILLE, SC 29605-3304
Phone number: 864-355-3100
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