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1366438335
MONICA ANN WAGNER
GREEN BAY, WI
NPI
1366438335
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 345039)
Enumeration Date
2005-09-23
Last Update Date
2007-07-08
Business Address
-- MONICA ANN WAGNER LAT
1630 COMMANCHE AVE
GREEN BAY, WI 54313-5753
Phone number: 920-430-4750
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Mailing Address
-- MONICA ANN WAGNER LAT
8069 COUNTY ROAD A
LENA, WI 54139-9737
Phone number: 920-842-3280
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