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1194138016
DONNA WAGONER
KENNETT, MO
NPI
1194138016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2014-06-09
Last Update Date
2014-06-09
Business Address
-- DONNA WAGONER
935 HWY V V
KENNETT, MO 63857
Phone number: 573-888-0642
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Mailing Address
-- DONNA WAGONER
935 HIGHWAY V V
KENNETT, MO 63857
Phone number: 573-888-0642
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