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1265648752
JEFFRIE L WAGNER
KANEOHE, HI
NPI
1265648752
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: HI 127)
Enumeration Date
2007-05-14
Last Update Date
2007-07-08
Business Address
Mr. JEFFRIE L WAGNER MFT, CSAC
46-050 KONANE PL
KANEOHE, HI 96744-6121
Phone number: 808-247-7962
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Mailing Address
Mr. JEFFRIE L WAGNER MFT, CSAC
PO BOX 628
KANEOHE, HI 96744-0628
Phone number: 808-247-7962
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