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1780130955
JANELLE WAGNER
OKLAHOMA CITY, OK
NPI
1780130955
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Professional Name
JANELLE WAGNER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: OK R0058475)
Enumeration Date
2016-08-28
Last Update Date
2024-09-29
Business Address
JANELLE WAGNER APRN
13301 N MERIDIAN AVE STE 300A
OKLAHOMA CITY, OK 73120-8357
Phone number: 405-849-5391
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Mailing Address
JANELLE WAGNER APRN
14501 PADDINGTON AVE
OKLAHOMA CITY, OK 73142-7803
Phone number: 405-834-5282
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