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1992879092
KRISTIN JO WAGNER
SPOKANE, WA
NPI
1992879092
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: WA ph00020076)
Enumeration Date
2006-11-20
Last Update Date
2007-07-08
Business Address
-- KRISTIN JO WAGNER
3919 N MAPLE ST
SPOKANE, WA 99205-1349
Phone number: 509-444-8888
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Mailing Address
-- KRISTIN JO WAGNER
35925 N PIKE RD
DEER PARK, WA 99006-9147
Phone number: 509-292-8398
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