JOHN WAGNER

JERSEY CITY, NJ
NPI1386697019
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NJ  25MT00083700)
Enumeration Date2006-05-17
Last Update Date2008-04-29
Business Address
Mr. JOHN WAGNER ATC
35 COLGATE ST
JERSEY CITY, NJ 07302-3307
Phone number: 201-547-2093
Mailing Address
Mr. JOHN WAGNER ATC
510 WASHINGTON ST FLOOR 2
CARLSTADT, NJ 07072-1508
Phone number: 201-245-5417
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