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1760910814
FRANCES MARIE WAGNER
GOWEN, MI
NPI
1760910814
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: MI AF410215936)
Enumeration Date
2017-06-01
Last Update Date
2022-07-21
Business Address
FRANCES MARIE WAGNER
12720 LINCOLN LAKE AVE
GOWEN, MI 49326-9403
Phone number: 616-548-2838
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Mailing Address
FRANCES MARIE WAGNER
12720 LINCOLN LAKE AVE
GOWEN, MI 49326-9403
Phone number: 616-548-2838
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