JASON WAGNER

ANACORTES, WA
NPI1215329420
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies247200000X Technician, Other
Enumeration Date2015-02-25
Last Update Date2015-02-25
Business Address
JASON WAGNER
2405 28TH ST
ANACORTES, WA 98221-2484
Phone number: 360-333-5684
Mailing Address
JASON WAGNER
2405 28TH ST
ANACORTES, WA 98221-2484
Phone number:
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