LINCOLN EDWARD WAGNER

OREM, UT
NPI1174224844
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2023-03-10
Last Update Date2023-03-10
Business Address
LINCOLN EDWARD WAGNER
1875 S GENEVA RD
OREM, UT 84058-2217
Phone number: 801-437-0490
Mailing Address
LINCOLN EDWARD WAGNER
1875 S GENEVA RD
OREM, UT 84058-2217
Phone number: 801-437-0490