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1821300823
ELLEN WANDA WAGNER
KNOXVILLE, TN
NPI
1821300823
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: TN 12235)
Enumeration Date
2010-07-07
Last Update Date
2010-07-07
Business Address
Dr. ELLEN WANDA WAGNER Pharm D
5006 N BROADWAY ST
KNOXVILLE, TN 37918-2340
Phone number: 865-688-1812
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Mailing Address
Dr. ELLEN WANDA WAGNER Pharm D
5006 N BROADWAY ST
KNOXVILLE, TN 37918-2340
Phone number: 865-688-1812
Copy
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