JENNIFER WAGNER

DANVILLE, IL
NPI1922195684
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IL  164.003078)
Enumeration Date2006-10-06
Last Update Date2007-07-08
Business Address
Mrs. JENNIFER WAGNER R.D.
1010 W CLAY ST
DANVILLE, IL 61832-4368
Phone number: 217-431-7200
Mailing Address
Mrs. JENNIFER WAGNER R.D.
1010 W CLAY ST
DANVILLE, IL 61832-4368
Phone number: 217-431-7200
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