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1922478783
NICHOLE WAGNER
EUREKA, CA
NPI
1922478783
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-10-05
Last Update Date
2015-10-05
Business Address
-- NICHOLE WAGNER
1100 CALIFORNIA ST
EUREKA, CA 95501-1621
Phone number: 707-443-8322
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Mailing Address
-- NICHOLE WAGNER
904 G ST
EUREKA, CA 95501-1829
Phone number: 707-269-2001
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