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1861681637
PAMELA WAGNER
SAINT PAUL, MN
NPI
1861681637
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MN R 144158-7)
Enumeration Date
2007-10-17
Last Update Date
2014-01-02
Business Address
-- PAMELA WAGNER CRNA
640 JACKSON ST
SAINT PAUL, MN 55101-2502
Phone number: 651-254-1687
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Mailing Address
-- PAMELA WAGNER CRNA
640 JACKSON ST
SAINT PAUL, MN 55101-2502
Phone number:
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