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1316112006
LANDI GAYLE WAGNER
LAMAR, CO
NPI
1316112006
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2008-04-24
Last Update Date
2012-10-08
Business Address
-- LANDI GAYLE WAGNER BS
100 KENDALL DR
LAMAR, CO 81052
Phone number: 719-336-7501
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Mailing Address
-- LANDI GAYLE WAGNER BS
711 BARNES AVE
LA JUNTA, CO 81050
Phone number: 719-384-5446
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