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1518672641
JOSEPH WAGONER
ALLENDALE, MI
NPI
1518672641
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: MI 2601002742)
Enumeration Date
2023-01-23
Last Update Date
2023-01-23
Business Address
JOSEPH WAGONER
1 CAMPUS DR
ALLENDALE, MI 49401-9401
Phone number: 616-331-5000
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Mailing Address
JOSEPH WAGONER
2416 RAYMOND AVE SE
GRAND RAPIDS, MI 49507-3924
Phone number:
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