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1366224776
JILL WAGNER
HANFORD, CA
NPI
1366224776
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Former Name
JILL WEAVER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA NP95027454)
Enumeration Date
2023-10-19
Last Update Date
2023-10-19
Business Address
JILL WAGNER FNP-C
250 W 5TH ST
HANFORD, CA 93230-5029
Phone number: 877-960-3426
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Mailing Address
JILL WAGNER FNP-C
711 E UNIVERSITY AVE
FRESNO, CA 93704-6124
Phone number: 559-824-8614
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