BRAD WAGNER

FLORENCE, KY
NPI1457985053
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KY  AT1725)
Enumeration Date2020-02-24
Last Update Date2020-02-24
Business Address
BRAD WAGNER
4706 AERO PKWY
FLORENCE, KY 41042-2994
Phone number: 513-431-9305
Mailing Address
BRAD WAGNER
4706 AERO PKWY
FLORENCE, KY 41042-2994
Phone number:
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