TOM L WAGNER

MURRAY, KY
NPI1043233919
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: KY  KY319)
Enumeration Date2006-07-25
Last Update Date2007-07-08
Business Address
Dr. TOM L WAGNER
509 MAIN ST DR TOM L WAGNER
MURRAY, KY 42071
Phone number: 270-759-1210
Mailing Address
Dr. TOM L WAGNER
BOX 2784 MSU
MURRAY, KY 42071
Phone number: 270-759-1210
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