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1356891105
MELISSA WAGNER
BALTIMORE, MD
NPI
1356891105
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LC0200X Nurse Practitioner, Critical Care Medicine
(Licence: MD R174093)
Enumeration Date
2016-10-05
Last Update Date
2016-10-05
Business Address
Mrs. MELISSA WAGNER AGACNP-BC
22 S GREENE ST
BALTIMORE, MD 21201-1544
Phone number: 410-328-5336
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Mailing Address
Mrs. MELISSA WAGNER AGACNP-BC
1402 BANAVIE TER W
BEL AIR, MD 21015-5780
Phone number: 410-838-3275
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