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Individual

ROBERTA LYNN HUNA WAGNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AG-CNS

Contact information

Practice address
800 E 28TH ST # MR 94100, MINNEAPOLIS, MN 55407-3799
(612) 775-3582
Mailing address
800 E 28TH ST # MR 94100, MINNEAPOLIS, MN 55407-3799
(612) 775-3582

Taxonomy

Speciality
Code
Description
License number
State
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
539
MN

Other

Enumeration date
04/03/2019
Last updated
04/03/2019
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