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1194100545
SHANE WAGERS
LAS VEGAS, NV
NPI
1194100545
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-07-28
Last Update Date
2015-07-28
Business Address
-- SHANE WAGERS
5138 N JULIANO RD
LAS VEGAS, NV 89149-4110
Phone number: 702-348-5547
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Mailing Address
-- SHANE WAGERS
5138 NORTH JULIANO ROAD
LAS VEGAS, NV 89149
Phone number: 702-348-5547
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