TERESA WAGNER

SAINT PAUL, MN
NPI1770969750
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: MN  3574)
Enumeration Date2015-08-03
Last Update Date2015-08-03
Business Address
-- TERESA WAGNER R.D., L.D.
45 SNELLING AVE N
SAINT PAUL, MN 55104-6842
Phone number: 651-699-3438
Mailing Address
-- TERESA WAGNER R.D., L.D.
11056 EAGLE VIEW BLVD
WOODBURY, MN 55129-5223
Phone number: 651-387-1873
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