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1134322639
JOSEPH HERMAN WAGNER
SAINT LOUIS, MO
NPI
1134322639
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: MO 01668)
Enumeration Date
2007-06-11
Last Update Date
2007-07-09
Business Address
JOSEPH HERMAN WAGNER ST
9445 LITZSINGER RD
SAINT LOUIS, MO 63144-2113
Phone number: 314-968-2350
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Mailing Address
JOSEPH HERMAN WAGNER ST
1223 WEATHERTON PL
BALLWIN, MO 63021-7439
Phone number: 636-391-7643
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