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1447713185
JORDAN JAY WAGNER
WEBSTER CITY, IA
NPI
1447713185
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: IA 22460)
Enumeration Date
2019-04-10
Last Update Date
2019-04-10
Business Address
Dr. JORDAN JAY WAGNER PharmD
2350 HOSPITAL DR
WEBSTER CITY, IA 50595-6600
Phone number: 515-832-7745
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Mailing Address
Dr. JORDAN JAY WAGNER PharmD
2104 THOMAS ST
WEBSTER CITY, IA 50595-3066
Phone number: 515-290-0745
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