EDYE LYNN WAGNER

LAKE FOREST, IL
NPI1346416740
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IL  164000949)
Enumeration Date2008-05-06
Last Update Date2008-05-06
Business Address
Ms. EDYE LYNN WAGNER RD, LDN
660 N WESTMORELAND RD
LAKE FOREST, IL 60045-1659
Phone number: 847-234-5600
Mailing Address
Ms. EDYE LYNN WAGNER RD, LDN
660 N WESTMORELAND RD
LAKE FOREST, IL 60045-1659
Phone number: 847-234-5600
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