JULIA WAGNER

BRIDGETON, MO
NPI1982258687
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MO  2019023257)
Enumeration Date2019-07-31
Last Update Date2020-10-27
Business Address
JULIA WAGNER FNP-C
12266 DEPAUL DRIVE SUITE 100
BRIDGETON, MO 63044
Phone number: 314-738-2770
Mailing Address
JULIA WAGNER FNP-C
PO BOX 955534
SAINT LOUIS, MO 63195-2551
Phone number:
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