ANGEL WAGNER

CENTRALIA, IL
NPI1215447032
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2017-10-06
Last Update Date2017-10-06
Business Address
ANGEL WAGNER
904 E. MARTIN LUTHER KING DRIVE
CENTRALIA, IL 62801-3058
Phone number: 618-533-1391
Mailing Address
ANGEL WAGNER
904 E. MARTIN LUTHER KING DRIVE
CENTRALIA, IL 62801-3058
Phone number: 618-533-1391
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