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1407582497
AMANDA WAGNER
BRIDGEPORT, CT
NPI
1407582497
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: CT 10891)
Enumeration Date
2022-08-01
Last Update Date
2022-09-17
Business Address
AMANDA WAGNER APRN, CRNA
267 GRANT ST
BRIDGEPORT, CT 06610-2870
Phone number: 203-384-3000
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Mailing Address
AMANDA WAGNER APRN, CRNA
84 WHEELER PARK AVE
FAIRFIELD, CT 06825-1143
Phone number:
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