DEB AGNES WAGNER

FORT COLLINS, CO
NPI1629674809
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: CO  0046580)
Enumeration Date2020-12-11
Last Update Date2020-12-11
Business Address
DEB AGNES WAGNER
1008 PATTON STREET
FORT COLLINS, CO 80525
Phone number: 970-494-4200
Mailing Address
DEB AGNES WAGNER
4856 INNOVATION DR STE B
FORT COLLINS, CO 80525-5540
Phone number: 970-494-4200