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1760976450
SHELBY WAGNER
KENOSHA, WI
NPI
1760976450
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2018-06-18
Last Update Date
2018-06-18
Business Address
SHELBY WAGNER M.S., CF-SLP
5219 88TH AVE
KENOSHA, WI 53144-7468
Phone number: 262-653-0850
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Mailing Address
SHELBY WAGNER M.S., CF-SLP
5219 88TH AVE
KENOSHA, WI 53144-7468
Phone number:
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