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1255769402
JOHN WAGNER
WINTER PARK, FL
NPI
1255769402
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: FL 04610)
Enumeration Date
2013-10-25
Last Update Date
2013-10-25
Business Address
JOHN WAGNER
1850 LEE ROAD SUITE 122A
WINTER PARK, FL 32789
Phone number: 407-295-2442
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Mailing Address
JOHN WAGNER
1850 LEE ROAD SUITE 122A
WINTER PARK, FL 32789
Phone number: 407-295-2442
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