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Amanda Wagner
NPI 1386238418 · on the registry since 2021
Practice
- Address
- Hc 64 Box 4590
Marble Hill, MO 63764 - Phone
- (573) 866-2010
- Organisation at this address
- Diana'S Boarding Home, Inc
Diana'S Boarding Home 1, IncInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Sex
- Female
- Record last updated
- 2021-03-01
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 Missouri