MISS BONNIE WAGNER

Driver

Active Individual
NPI: 1326214362

Practice Address

112 W DELAWARE ST
APT.212
Fairfield, IL 62837

Phone: (618) 842-4151

Specialties

Specialty Code Primary License
Driver 172A00000X Yes -

Frequently Asked Questions

NPI 1326214362 is the National Provider Identifier for MISS BONNIE WAGNER, a Driver provider located in Fairfield, IL. This NPI was enumerated on April 30, 2008.
MISS BONNIE WAGNER practices at 112 W DELAWARE ST, APT.212, Fairfield, IL 62837.

Quick Facts

NPI
1326214362
Type
Individual
Enumerated
Apr 30, 2008
Last Updated
Apr 30, 2008

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