KELLY JO WAGNER

ARVADA, CO
NPI1861738981
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: CO  0990570)
Enumeration Date2012-12-17
Last Update Date2016-03-04
Business Address
-- KELLY JO WAGNER
12650 W 64TH AVE UNIT E501
ARVADA, CO 80004-3893
Phone number: 303-431-4127
Mailing Address
-- KELLY JO WAGNER
6595 ZINNIA ST
ARVADA, CO 80004-2256
Phone number: 937-243-1014
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