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1487119343
JILL WAGNER
SAN ANTONIO, TX
NPI
1487119343
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: TX NA0060030231)
Enumeration Date
2019-02-05
Last Update Date
2019-02-05
Business Address
JILL WAGNER
7710 W IH 10
SAN ANTONIO, TX 78230-4711
Phone number: 210-377-3355
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Mailing Address
JILL WAGNER
7710 W IH 10
SAN ANTONIO, TX 78230-4711
Phone number: 210-377-3355
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