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1699842229
GARY L. WAGNER
SPOKANE VALLEY, WA
NPI
1699842229
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: WA RN00094715)
Enumeration Date
2006-11-29
Last Update Date
2024-02-13
Business Address
Mr. GARY L. WAGNER CRNA
16010 E INDIANA AVE
SPOKANE VALLEY, WA 99216-1813
Phone number: 509-928-8040
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Mailing Address
Mr. GARY L. WAGNER CRNA
7058 N MADELLAINE DR
COEUR D ALENE, ID 83815-7108
Phone number: 253-334-3886
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