JACKIE WAGNER

BROKEN BOW, NE
NPI1649921925
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2022-01-18
Last Update Date2022-01-18
Business Address
JACKIE WAGNER
1135 N H ST
BROKEN BOW, NE 68822-1262
Phone number: 308-872-2982
Mailing Address
JACKIE WAGNER
323 N 7TH AVE
BROKEN BOW, NE 68822-1718
Phone number: 308-872-6821