KELLY ANN WAGNER

WEST BEND, WI
NPI1407180268
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WI  302197-031)
Enumeration Date2009-09-28
Last Update Date2009-09-28
Business Address
Ms. KELLY ANN WAGNER lpn
1143 VOGT DR APT 14
WEST BEND, WI 53095-5505
Phone number: 262-483-8439
Mailing Address
Ms. KELLY ANN WAGNER lpn
1143 VOGT DR APT 14
WEST BEND, WI 53095-5505
Phone number: 262-483-8439
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