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Individual

ASHLEY WAGNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RT(R)

Contact information

Practice address
2700 SHYVILLE RD, PIKETON, OH 45661-9743
(740) 708-9509
Mailing address
2700 SHYVILLE RD, PIKETON, OH 45661-9743
(740) 708-9509

Taxonomy

Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
R8862612
OH
376J00000X
Homemaker
Primary

Other

Enumeration date
09/05/2024
Last updated
09/19/2024
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