GEORGINE WAGONER

WATERLOO, IA
NPI1578858999
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: IA  C-041395)
Enumeration Date2011-06-14
Last Update Date2011-06-14
Business Address
-- GEORGINE WAGONER Arnp
1407 INDEPENDENCE AVE 5TH FLOOR
WATERLOO, IA 50703-4300
Phone number: 319-291-2413
Mailing Address
-- GEORGINE WAGONER Arnp
1407 INDEPENDENCE AVE 5TH FLOOR
WATERLOO, IA 50703-4300
Phone number: 319-291-2413
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