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1700442738
SARAH L WAGNER
EVANSVILLE, IN
NPI
1700442738
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IN 222222222)
Enumeration Date
2019-05-15
Last Update Date
2019-05-15
Business Address
SARAH L WAGNER PA
421 CHESTNUT ST
EVANSVILLE, IN 47713-1227
Phone number: 812-492-5202
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Mailing Address
SARAH L WAGNER PA
PO BOX 1510
EVANSVILLE, IN 47706-1510
Phone number: 812-450-6815
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