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1578102752
SHELA WAGNER
LOVELAND, CO
NPI
1578102752
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-01-05
Last Update Date
2020-01-05
Business Address
SHELA WAGNER
2603 NORTH MONROE AVE
LOVELAND, CO 80538
Phone number: 303-815-4076
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Mailing Address
SHELA WAGNER
1300 N 17TH AVE
GREELEY, CO 80631-9584
Phone number: 970-347-2120
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