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1639134018
KATHERINE NOELLE WAGNER
FORT WORTH, TX
NPI
1639134018
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LN0000X Nurse Practitioner, Neonatal
(Licence: TX 673346)
Enumeration Date
2006-04-19
Last Update Date
2007-09-10
Business Address
Miss KATHERINE NOELLE WAGNER RNC, MSN, NNP
1301 PENNSYLVANIA AVE NEONATOLOGY OFFICE
FORT WORTH, TX 76104-2122
Phone number: 817-250-2892
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Mailing Address
Miss KATHERINE NOELLE WAGNER RNC, MSN, NNP
1301 PENNSYLVANIA AVE NEONATOLOGY OFFICE
FORT WORTH, TX 76104-2122
Phone number: 817-250-2892
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