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1770122996
VICTORIA WAGENKNECHT
FORT MYERS, FL
NPI
1770122996
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Former Name
VICTORIA KERN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2020-01-06
Last Update Date
2023-10-27
Business Address
VICTORIA WAGENKNECHT PA-C
13340 METRO PKWY STE 400
FORT MYERS, FL 33966-4818
Phone number: 239-343-1105
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Mailing Address
VICTORIA WAGENKNECHT PA-C
PO BOX 2147
FORT MYERS, FL 33902-2147
Phone number: 239-343-1105
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