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1093185712
JAYME GENE WAGNER
FLINT, MI
NPI
1093185712
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-10-07
Last Update Date
2015-10-07
Business Address
-- JAYME GENE WAGNER
529 M. L. KING, JR. AVE
FLINT, MI 48502
Phone number: 810-238-7226
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Mailing Address
-- JAYME GENE WAGNER
1205 GARLAND ST APT B
FLINT, MI 48503-1305
Phone number: 810-238-7226
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