BRETT JAMES WAGNER

LAWTON, OK
NPI1407126576
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: OK  2718)
Enumeration Date2012-01-06
Last Update Date2012-06-13
Business Address
BRETT JAMES WAGNER O.D.
5606 SW LEE BLVD SUITE 301
LAWTON, OK 73505-9688
Phone number: 580-536-0000
Mailing Address
BRETT JAMES WAGNER O.D.
5606 SW LEE BLVD SUITE 301
LAWTON, OK 73505-9688
Phone number: 580-536-0000
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