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1295288629
KELLY WAGNER
IOWA CITY, IA
NPI
1295288629
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IA 083720)
Enumeration Date
2016-08-02
Last Update Date
2016-08-02
Business Address
-- KELLY WAGNER MS, RD, LD
200 HAWKINS DR FOOD AND NUTRITION SERVICES, W146 GH
IOWA CITY, IA 52242-1009
Phone number: 319-356-1789
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Mailing Address
-- KELLY WAGNER MS, RD, LD
200 HAWKINS DR FOOD AND NUTRITION SERVICES, W146 GH
IOWA CITY, IA 52242-1009
Phone number:
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