NICOLE WAGON

specializing in community health worker in Basin, Wyoming

NPI: 1396198891

Provider Type

1

Practice Locations

Mailing Location

PO BOX 190

BASIN, WY 82410

Practice Location

#24 GREAT PLAINS RD

ARAPAHOE, WY 82510

📞 3078560470

Provider Information

Gender:F
Sole Proprietor:No
Enumeration Date:7/20/2016
Last Updated:7/20/2016

Credentials

Primary Credential:
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