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Jody Wagoner
NPI 1922581222 · on the registry since 2018
Practice
- Address
- 509 E Newton St
Paris, IL 61944 - Phone
- (217) 466-6170
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-09-12
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 Illinois