Individual
AMBER DAWN WAGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3735 RHODES AVE, NEW BOSTON, OH 45662-4994
(740) 821-0922
Mailing address
3735 RHODES AVE, NEW BOSTON, OH 45662-4994
(740) 821-0922
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.141934-M-IV
OH
Other
Enumeration date
12/07/2010
Last updated
12/07/2010
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