BLAKE JOSEPH WAGNER

POULSBO, WA
NPI1134267735
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy111N00000X Chiropractor
(Licence: WA  CH00003095)
Enumeration Date2007-02-03
Last Update Date2011-04-25
Business Address
-- BLAKE JOSEPH WAGNER D.C.
21505 MARKET PL NW SUITE 102
POULSBO, WA 98370-6635
Phone number: 360-598-3143
Mailing Address
-- BLAKE JOSEPH WAGNER D.C.
21505 MARKET PLACE NW SUITE 102
POULSBO, WA 98370
Phone number: 360-598-3143
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