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1700352143
ALYSSA ROSE WAGNER
SPRINGFIELD, OR
NPI
1700352143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WL0100X Registered Nurse, Lactation Consultant
(Licence: OR 201140420RN)
Enumeration Date
2018-10-23
Last Update Date
2018-10-23
Business Address
ALYSSA ROSE WAGNER IBCLC
353 DEADMOND FERRY RD
SPRINGFIELD, OR 97477-9406
Phone number: 541-337-4970
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Mailing Address
ALYSSA ROSE WAGNER IBCLC
353 DEADMOND FERRY RD
SPRINGFIELD, OR 97477-9406
Phone number: 541-337-4970
Copy
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