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1629674809
DEB AGNES WAGNER
FORT COLLINS, CO
NPI
1629674809
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: CO 0046580)
Enumeration Date
2020-12-11
Last Update Date
2020-12-11
Business Address
DEB AGNES WAGNER
1008 PATTON STREET
FORT COLLINS, CO 80525
Phone number: 970-494-4200
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Mailing Address
DEB AGNES WAGNER
4856 INNOVATION DR STE B
FORT COLLINS, CO 80525-5540
Phone number: 970-494-4200
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