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1871804799
AMBER R WAGNON
WICHITA, KS
NPI
1871804799
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KS 53-75197)
Enumeration Date
2010-06-25
Last Update Date
2021-12-02
Business Address
Ms. AMBER R WAGNON ARNP
2135 N COLLECTIVE LN
WICHITA, KS 67206-3560
Phone number: 316-261-3220
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Mailing Address
Ms. AMBER R WAGNON ARNP
2135 N COLLECTIVE LN
WICHITA, KS 67206-3560
Phone number: 316-261-3220
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