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Individual
HILLARY WAGNER
Active
Individual
HILLARY WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
42294
WV
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/18/2022
Last updated
06/15/2026
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