AIMEE THERESE WAGONBLAST

CHEHALIS, WA
NPI1992876478
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA  AP30007079)
Enumeration Date2006-11-13
Last Update Date2011-06-21
Business Address
Ms. AIMEE THERESE WAGONBLAST ARNP
151 NE HAMPE WAY SUITE B2-6
CHEHALIS, WA 98532
Phone number: 360-748-3049
Mailing Address
Ms. AIMEE THERESE WAGONBLAST ARNP
516 SANDALWOOD DR SW
OLYMPIA, WA 98502
Phone number: 360-581-2646
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