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1346221041
JOHN S WAGNER
LAFAYETTE, IN
NPI
1346221041
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: IN 08000532A)
Enumeration Date
2005-11-09
Last Update Date
2015-01-02
Business Address
-- JOHN S WAGNER D.C.
3778 UNION ST
LAFAYETTE, IN 47905-4453
Phone number: 765-448-1674
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Mailing Address
-- JOHN S WAGNER D.C.
3778 UNION ST
LAFAYETTE, IN 47905-4453
Phone number: 765-448-1674
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