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Organization
ANDREA J WAGNER PLLC
Active
Organization
ANDREA J WAGNER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA WAGNER AUD (OWNER / AUDIOLOGIST)
(918) 333-9992
Entity
Organization
Contact information
Practice address
121 SE ADAMS BLVD, BARTLESVILLE, OK 74003-4925
(918) 333-9992
Mailing address
121 SE ADAMS BLVD, BARTLESVILLE, OK 74003-4925
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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