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1134984412
BROOKE WAGNER
DES MOINES, IA
NPI
1134984412
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WM0705X Registered Nurse, Medical-Surgical
(Licence: IA 157935)
Enumeration Date
2024-02-16
Last Update Date
2024-02-16
Business Address
BROOKE WAGNER
2601 STANTON AVE
DES MOINES, IA 50321-2855
Phone number: 515-664-4179
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Mailing Address
BROOKE WAGNER
2601 STANTON AVE
DES MOINES, IA 50321-2855
Phone number: 515-664-4179
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