Ivan Scott Wagoner
Nursing at Phay Ave, Canon City, CO

License number
Colorado 157024
Issued Date
Aug 23, 1991
Renew Date
Feb 1, 2006
Expiration Date
Jan 31, 2008
Type
Certified Nurse Aide
Address
Address
1101 Phay Ave, Canon City, CO 81212
LicenseFiles verified this license of Dec 9, 2016 at the Colorado - Department of Regulatory Agencies.

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