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1164602009
CHAD RICHARD WAGNER
SPARTANBURG, SC
NPI
1164602009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: SC 3296)
Enumeration Date
2007-11-08
Last Update Date
2016-06-22
Business Address
Dr. CHAD RICHARD WAGNER D.C.
115 SOUTHPORT RD STE B
SPARTANBURG, SC 29306-3814
Phone number: 864-804-6612
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Mailing Address
Dr. CHAD RICHARD WAGNER D.C.
PO BOX 2068
GAFFNEY, SC 29342-2068
Phone number: 864-414-5903
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