NICHOLE J WAGNER

GLEN ULLIN, ND
NPI1841907300
Former NameNICHOLE J KRASKA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ND  1961)
Enumeration Date2022-11-03
Last Update Date2025-03-11
Business Address
NICHOLE J WAGNER OTD, OTR/L
604 E ASH AVE
GLEN ULLIN, ND 58631-7138
Phone number: 701-348-3107
Mailing Address
NICHOLE J WAGNER OTD, OTR/L
PO BOX 161
GLEN ULLIN, ND 58631-0161
Phone number: 218-988-2871
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