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1407601040
SHANA WAGNER
COLUMBUS, OH
NPI
1407601040
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: OH APRN.CNP.0036642)
Enumeration Date
2024-04-18
Last Update Date
2024-09-25
Business Address
SHANA WAGNER CPNP-PC
700 CHILDRENS DR
COLUMBUS, OH 43205-2639
Phone number: 614-722-2000
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Mailing Address
SHANA WAGNER CPNP-PC
700 CHILDRENS DR
COLUMBUS, OH 43205-2664
Phone number:
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