KURT ALLEN WAGNER

GREENVILLE, SC
NPI1366219354
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SC  0705)
Enumeration Date2023-12-08
Last Update Date2023-12-08
Business Address
KURT ALLEN WAGNER ATC
200C PATEWOOD DR
GREENVILLE, SC 29615-3557
Phone number: 864-454-7422
Mailing Address
KURT ALLEN WAGNER ATC
112 SYLVAN OAK WAY
SIMPSONVILLE, SC 29681-2561
Phone number: 864-238-8689
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