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1508587148
KATHERINE LOUISE WAGNER
CHICAGO, IL
NPI
1508587148
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085009268)
Enumeration Date
2022-09-12
Last Update Date
2024-12-17
Business Address
KATHERINE LOUISE WAGNER PA-C
1611 W HARRISON ST STE 400
CHICAGO, IL 60612-4861
Phone number: 877-632-6637
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Mailing Address
KATHERINE LOUISE WAGNER PA-C
1611 W HARRISON ST STE 400
CHICAGO, IL 60612-4861
Phone number: 877-632-6637
Copy
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