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Individual

BROOKE WAGNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2601 STANTON AVE, DES MOINES, IA 50321-2855
(515) 664-4179
Mailing address
2601 STANTON AVE, DES MOINES, IA 50321-2855
(515) 664-4179

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
157935
IA

Other

Enumeration date
02/16/2024
Last updated
02/16/2024
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