MARIE A WAGNER

PORT SAINT LUCIE, FL
NPI1184895070
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171W00000X Contractor
(Licence: FL  19-3549-004-08)
Enumeration Date2008-03-18
Last Update Date2008-03-18
Business Address
Ms. MARIE A WAGNER
365 SW LOG DR
PORT SAINT LUCIE, FL 34953-7501
Phone number: 772-785-6473
Mailing Address
Ms. MARIE A WAGNER
365 SW LOG DR
PORT SAINT LUCIE, FL 34953-7501
Phone number: 772-785-6473
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