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1619903788
GAIL R WAGNER
LEAVENWORTH, KS
NPI
1619903788
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KS 44658)
Enumeration Date
2006-06-23
Last Update Date
2007-07-08
Business Address
-- GAIL R WAGNER ARNP
4101 S 4TH ST
LEAVENWORTH, KS 66048-5014
Phone number: 913-682-2000
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Mailing Address
-- GAIL R WAGNER ARNP
1010 N 4TH ST
LANSING, KS 66043-1145
Phone number: 913-682-2000
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