JACK C WAGNER

OKLAHOMA CITY, OK
NPI1093510810
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-02-17
Last Update Date2025-02-17
Business Address
JACK C WAGNER
2200 N CLASSEN BLVD
OKLAHOMA CITY, OK 73106-5800
Phone number: 405-760-2673
Mailing Address
JACK C WAGNER
800 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104-5018
Phone number: 405-271-2316
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