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1184664062
DEBORAH C WAGNER
DETROIT, MI
NPI
1184664062
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: MI 4704118834)
Enumeration Date
2006-06-07
Last Update Date
2015-12-08
Business Address
DEBORAH C WAGNER CNM, MSN
4201 SAINT ANTOINE ST
DETROIT, MI 48201-2153
Phone number: 313-745-4380
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Mailing Address
DEBORAH C WAGNER CNM, MSN
1560 E. MAPLE RD. SUITE 400-CREDENTIALING
TROY, MI 48083-1138
Phone number: 248-581-5970
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