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1265444517
JULIE WAGNER
DAYTON, OH
NPI
1265444517
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: OH LD.4812)
Enumeration Date
2006-08-13
Last Update Date
2007-07-08
Business Address
-- JULIE WAGNER R.D.
4100 W 3RD ST DAYTON VAMC 120
DAYTON, OH 45428-9000
Phone number: 937-268-6511
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Mailing Address
-- JULIE WAGNER R.D.
11781 ZELLER DR
NEW CARLISLE, OH 45344-8917
Phone number:
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