CHARLES ALLLEN WAGNER

ELKHART, IN
NPI1356069082
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183700000X Pharmacy Technician
(Licence: IN  67010074A)
Enumeration Date2022-08-18
Last Update Date2022-08-22
Business Address
CHARLES ALLLEN WAGNER
1804 CONNECTICUT AVE
ELKHART, IN 46514-8367
Phone number: 574-218-2613
Mailing Address
CHARLES ALLLEN WAGNER
901 JOHNSON ST
ELKHART, IN 46514-3329
Phone number: 574-264-5996
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