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1689049033
CRYSTAL WAGNER
FORT THOMAS, KY
NPI
1689049033
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Former Name
CRYSTAL CRUZE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: KY 3009831)
Enumeration Date
2015-12-10
Last Update Date
2024-02-19
Business Address
CRYSTAL WAGNER APRN
85 N GRAND AVE
FORT THOMAS, KY 41075-1793
Phone number: 859-572-3617
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Mailing Address
CRYSTAL WAGNER APRN
PO BOX 18667
ERLANGER, KY 41018-0667
Phone number: 513-312-2247
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