Individual
JILL MARIE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
704 1ST DR NW, AUSTIN, MN 55912-3099
(507) 433-1804
Mailing address
704 1ST DR NW, AUSTIN, MN 55912-3099
(507) 433-1804
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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