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1285963157
ANDREA M WAGNER
MONMOUTH, OR
NPI
1285963157
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 200950140NP)
Enumeration Date
2009-12-23
Last Update Date
2020-08-12
Business Address
ANDREA M WAGNER FNP-C
180 ATWATER ST N
MONMOUTH, OR 97361-1801
Phone number: 503-606-3288
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Mailing Address
ANDREA M WAGNER FNP-C
320 SE BAKER ST
MCMINNVILLE, OR 97128-6038
Phone number: 503-474-3600
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