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Individual

CYNTHIA YVONNE WAGNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
303 N HURSTBOURNE PKWY STE 200, LOUISVILLE, KY 40222-5158
(513) 314-0190
Mailing address
20198 US HIGHWAY 68, FAYETTEVILLE, OH 45118-9781
(513) 314-0190

Taxonomy

Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
RN.296716
OH

Other

Enumeration date
06/13/2021
Last updated
06/13/2021
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