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1235254459
JEFFREY LYNN WAGNAAR
DENVER, CO
NPI
1235254459
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Additional Taxonomies
225100000X Physical Therapist
(Licence: CO PTL-6924)
Enumeration Date
2007-03-20
Last Update Date
2023-11-27
Business Address
JEFFREY LYNN WAGNAAR P.T.
325 KING ST
DENVER, CO 80219-1326
Phone number: 303-225-4100
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Mailing Address
JEFFREY LYNN WAGNAAR P.T.
325 KING ST
DENVER, CO 80219-1326
Phone number: 303-225-4100
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