VICKEY J WAGNER

WAVERLY, OH
NPI1902954035
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  PN.120296 IV)
Enumeration Date2007-01-08
Last Update Date2008-03-26
Business Address
Miss VICKEY J WAGNER LPN
5235 STATE ROUTE 220
WAVERLY, OH 45690-9038
Phone number: 740-947-5172
Mailing Address
Miss VICKEY J WAGNER LPN
PO BOX 342
WAVERLY, OH 45690-0342
Phone number: 740-947-5172
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