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1285413138
SAMUEL ELIAS WAGNER
SOUTH SALT LAKE, UT
NPI
1285413138
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041S0200X Social Worker, School
Enumeration Date
2023-09-28
Last Update Date
2023-09-28
Business Address
SAMUEL ELIAS WAGNER
177 W PRICE AVE
SOUTH SALT LAKE, UT 84115-4345
Phone number: 385-468-4500
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Mailing Address
SAMUEL ELIAS WAGNER
2324 S GREEN ST APT L2
SALT LAKE CITY, UT 84106-1412
Phone number:
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