LENIE WAGONER

CENTRAL SQUARE, NY
NPI1376128991
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  806246)
Enumeration Date2021-03-15
Last Update Date2021-03-15
Business Address
LENIE WAGONER
2399 COUNTY ROUTE 12
CENTRAL SQUARE, NY 13036-2347
Phone number: 315-741-6331
Mailing Address
LENIE WAGONER
2399 COUNTY ROUTE 12
CENTRAL SQUARE, NY 13036-2347
Phone number: 315-741-6331
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