DAKOTA DANIEL WAGONER

BAINBRIDGE, OH
NPI1295479384
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2022-04-25
Last Update Date2022-04-25
Business Address
DAKOTA DANIEL WAGONER
1071 TONG HOLLOW RD
BAINBRIDGE, OH 45612-1500
Phone number: 740-313-0569
Mailing Address
DAKOTA DANIEL WAGONER
1071 TONG HOLLOW RD
BAINBRIDGE, OH 45612-1500
Phone number: 740-313-0569