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1477620235
KATHERINE TERESA WAGNER
LOS ANGELES, CA
NPI
1477620235
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: CA NA2941)
Enumeration Date
2006-11-29
Last Update Date
2023-11-27
Business Address
KATHERINE TERESA WAGNER CRNA
1500 SAN PABLO ST
LOS ANGELES, CA 90033-5313
Phone number: 323-442-7400
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Mailing Address
KATHERINE TERESA WAGNER CRNA
PO BOX 31309
LOS ANGELES, CA 90031-0309
Phone number: 323-442-7400
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