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Mallori Wagoner
NPI 1033003116 · on the registry since 2025 · sole proprietor
Practice
- Address
- 2724 Avenue B
Council Bluffs, IA 51501 - Phone
- (402) 679-2834
Registry record
- Primary taxonomy
- Personal Care Attendant
3747P1801X
- Sex
- Female
- Record last updated
- 2025-06-04
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Iowa