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1922451624
LORA WAGNER
CHICO, CA
NPI
1922451624
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA VN150759)
Enumeration Date
2016-07-18
Last Update Date
2016-07-18
Business Address
-- LORA WAGNER
592 RIO LINDO AVE
CHICO, CA 95926-1817
Phone number: 530-891-2775
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Mailing Address
-- LORA WAGNER
592 RIO LINDO AVE
CHICO, CA 95926-1817
Phone number:
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