LACEY DAWN WAGNER

LEWISBURG, WV
NPI1578236170
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2021-07-29
Last Update Date2021-07-29
Business Address
LACEY DAWN WAGNER
1108 WASHINGTON ST E
LEWISBURG, WV 24901-2523
Phone number: 304-645-2130
Mailing Address
LACEY DAWN WAGNER
1108 WASHINGTON ST E
LEWISBURG, WV 24901-2523
Phone number: 304-645-2130
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