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1174373534
BRIDGET NORA WAGNER
OAK LAWN, IL
NPI
1174373534
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085.010348)
Enumeration Date
2024-03-26
Last Update Date
2024-08-23
Business Address
BRIDGET NORA WAGNER PA-C
4440 W 95TH ST
OAK LAWN, IL 60453-2600
Phone number: 708-684-8000
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Mailing Address
BRIDGET NORA WAGNER PA-C
29373 NETWORK PL
CHICAGO, IL 60673-1293
Phone number: 847-390-5900
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