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1386685360
NICHOLAS MARK WAGNER
LITTLE ROCK, AR
NPI
1386685360
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AR PT2846)
Enumeration Date
2006-06-09
Last Update Date
2014-06-17
Business Address
-- NICHOLAS MARK WAGNER DPT
600 S MCKINLEY ST SUITE 210
LITTLE ROCK, AR 72205-5202
Phone number: 501-225-0181
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Mailing Address
-- NICHOLAS MARK WAGNER DPT
600 S MCKINLEY ST SUITE 210
LITTLE ROCK, AR 72205-5202
Phone number: 501-225-0181
Copy
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