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Individual

FELICA WAGNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1512 E 19TH ST, DES MOINES, IA 50316-2708
(303) 242-6661
Mailing address
1005 25TH ST SE, ALTOONA, IA 50009-7830
(515) 314-6044

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
07/06/2026
Last updated
07/06/2026
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