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1154965531
MONICA WAGNER
INDIANAPOLIS, IN
NPI
1154965531
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: IN 28224168A)
Enumeration Date
2019-10-29
Last Update Date
2023-06-19
Business Address
MONICA WAGNER
8424 NAAB RD STE 1L
INDIANAPOLIS, IN 46260-1954
Phone number: 317-338-7780
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Mailing Address
MONICA WAGNER
1325 E 96TH ST
INDIANAPOLIS, IN 46240-1257
Phone number: 317-650-5653
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