KIMBERLY MARIE WAGNER

ATLANTA, GA
NPI1124542980
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA  AT002993)
Enumeration Date2017-08-02
Last Update Date2017-08-02
Business Address
KIMBERLY MARIE WAGNER AT
59 EXECUTIVE PARK S STE 1100
ATLANTA, GA 30329-2208
Phone number: 404-778-6330
Mailing Address
KIMBERLY MARIE WAGNER AT
8259 WICKER AVE
SAINT JOHN, IN 46373-8878
Phone number: 219-635-6560
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