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Individual

SARAH ROCHELLE SMITH WAGNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.P

Contact information

Practice address
108 S DELAWARE AVE, WENATCHEE, WA 98801-2609
(509) 741-7494
Mailing address
108 S DELAWARE AVE, WENATCHEE, WA 98801-2609

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60129401
WA

Other

Enumeration date
02/24/2010
Last updated
02/24/2010
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