BLAIR WAGNER

SLIDELL, LA
NPI1053088005
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: LA  009605995)
Enumeration Date2021-08-26
Last Update Date2021-08-26
Business Address
BLAIR WAGNER
1501 MAGNOLIA ST # B
SLIDELL, LA 70460-8821
Phone number: 504-400-3896
Mailing Address
BLAIR WAGNER
1501 MAGNOLIA ST # B
SLIDELL, LA 70460-8821
Phone number:
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