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Patricia Wagner
NPI 1215332705 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1401 Blackfoot Trl
Woodland Park, CO 80863 - Phone
- (719) 686-1938
Registry record
- Primary taxonomy
- 225CX0006X
225CX0006X
- Also registered as
- 2255R0406X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-10-27
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 Colorado