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1255808002
VICKI LYNN WAGNER
AUBURN, WA
NPI
1255808002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WS0200X Registered Nurse, School
(Licence: WA RN00077448)
Enumeration Date
2018-10-30
Last Update Date
2018-10-30
Business Address
VICKI LYNN WAGNER
502 4TH ST NE
AUBURN, WA 98002-5020
Phone number: 253-931-4990
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Mailing Address
VICKI LYNN WAGNER
502 4TH ST NE
AUBURN, WA 98002-5020
Phone number: 253-931-4990
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