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1932854387
KELSEY WAGNER
TYLER, TX
NPI
1932854387
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 1009796)
Enumeration Date
2022-02-15
Last Update Date
2022-02-15
Business Address
KELSEY WAGNER
9846 HWY 31 E
TYLER, TX 75705-2329
Phone number: 903-525-3714
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Mailing Address
KELSEY WAGNER
9846 HWY 31 E
TYLER, TX 75705-2329
Phone number:
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