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Individual
DAVID FRANCIS WAGNER
Active
Individual
DAVID FRANCIS WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WH0500X
Hemodialysis Registered Nurse
Primary
073061
MO
Other
Enumeration date
10/25/2010
Last updated
10/25/2010
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