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1801115340
JANELLE JOY WAGNER
LONGMONT, CO
NPI
1801115340
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: CO NP10340)
Enumeration Date
2010-05-24
Last Update Date
2023-05-15
Business Address
JANELLE JOY WAGNER NP-C
1760 E KEN PRATT BLVD STE 301&302
LONGMONT, CO 80504-5311
Phone number: 303-684-1900
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Mailing Address
JANELLE JOY WAGNER NP-C
7951 E MAPLEWOOD AVE STE 350
GREENWOOD VILLAGE, CO 80111-4758
Phone number: 303-930-7803
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