JACOB LEWIS WAGNER

DANVILLE, PA
NPI1356922959
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-04-16
Last Update Date2021-04-27
Business Address
Dr. JACOB LEWIS WAGNER DO
100 N ACADEMY AVE # 61-22
DANVILLE, PA 17822-9800
Phone number: 570-416-1925
Mailing Address
Dr. JACOB LEWIS WAGNER DO
100 N ACADEMY AVE # 61-22
DANVILLE, PA 17822-9800
Phone number: 570-416-1925
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