GARY WAGONER

GREENUP, KY
NPI1144327610
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2006-09-19
Last Update Date2007-07-08
Business Address
-- GARY WAGONER
57 DORA LANE
GREENUP, KY 41144
Phone number: 606-473-7333
Mailing Address
-- GARY WAGONER
P.O. BOX 790
ASHLAND, KY 41105-0790
Phone number: 606-329-8588