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1942044359
LAURYN WAGNER
MENOMONEE FALLS, WI
NPI
1942044359
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 1682524)
Enumeration Date
2024-06-20
Last Update Date
2024-08-15
Business Address
LAURYN WAGNER
N84W16889 MENOMONEE AVE
MENOMONEE FALLS, WI 53051-2810
Phone number: 262-250-1870
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Mailing Address
LAURYN WAGNER
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 800-326-2250
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