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1255663605
TERESA J. WAGNER
MINNEAPOLIS, MN
NPI
1255663605
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: MN R125206-4)
Enumeration Date
2010-02-10
Last Update Date
2010-02-10
Business Address
Mrs. TERESA J. WAGNER R.N.
801 PARK AVE
MINNEAPOLIS, MN 55404-1136
Phone number: 612-343-3265
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Mailing Address
Mrs. TERESA J. WAGNER R.N.
3641 LOGAN AVE N
MINNEAPOLIS, MN 55412-1949
Phone number: 612-343-3265
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