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1942215777
ALEXANDRA WAGNER
COLUMBIA, SC
NPI
1942215777
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
175M00000X Midwife, Lay
(Licence: SC 31)
Enumeration Date
2006-07-30
Last Update Date
2013-02-04
Business Address
Mrs. ALEXANDRA WAGNER LM, CPM
3026 PARK ST
COLUMBIA, SC 29201-1544
Phone number: 843-992-9870
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Mailing Address
Mrs. ALEXANDRA WAGNER LM, CPM
3026 PARK ST
COLUMBIA, SC 29201-1544
Phone number: 843-992-9870
Copy
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