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Allison Wagner
NPI 1588019855 · on the registry since 2016
Practice
- Address
- 501 Vairo Blvd
Apt 1411c
State College, PA 16803 - Phone
- (443) 944-7535
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 390200000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-04-25
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 Pennsylvania