SHANE L WAGNER

FORT SMITH, AR
NPI1548413925
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2008-10-29
Last Update Date2024-03-06
Business Address
SHANE L WAGNER MHPP
3111 S 70TH ST
FORT SMITH, AR 72903-5017
Phone number: 479-452-6650
Mailing Address
SHANE L WAGNER MHPP
3111 S 70TH ST
FORT SMITH, AR 72903-5017
Phone number: 479-452-6650
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