CARL WAGNER

TAOS, NM
NPI1083780357
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171100000X Acupuncturist
(Licence: NM  341)
Enumeration Date2006-11-28
Last Update Date2007-07-08
Business Address
-- CARL WAGNER D.O.M.
1332 GUSDORF RD STE. E
TAOS, NM 87571-6371
Phone number: 505-758-2700
Mailing Address
-- CARL WAGNER D.O.M.
PO BOX 28
CHAMISAL, NM 87521-0028
Phone number: 505-587-2685
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