JAKE WAGNER

LOUISVILLE, KY
NPI1114667334
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-03-29
Last Update Date2022-03-29
Business Address
JAKE WAGNER
550 S JACKSON ST # A3K00
LOUISVILLE, KY 40202-1622
Phone number: 502-852-4277
Mailing Address
JAKE WAGNER
550 S JACKSON ST # A3K00
LOUISVILLE, KY 40202-1622
Phone number: 502-852-4277
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