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Jennifer Wagener

NPI 1215586847 · on the registry since 2019 · sole proprietor

Practice

Address
1513 Melvin Ave
Racine, WI 53402
Phone
(262) 634-6020

Registry record

Primary taxonomy
3747A0650X
3747A0650X
Sex
Female
Record last updated
2019-09-06

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 Wisconsin