Miss. Bonnie Kay Wagner
Miss. Bonnie Kay Wagner is a Driver in Fairfield, Illinois. Practices as a sole proprietor. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
112 W Delaware St APT.212Fairfield, IL 62837-2540
Phone: (618) 842-4151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X |
|---|
Record details
| NPI number | 1326214362 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 30, 2008 |
| Last updated in NPPES | April 30, 2008 |