WAGNER GEORGES

BRENTWOOD, NY
NPI1558500520
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  287112)
Enumeration Date2009-02-13
Last Update Date2009-02-13
Business Address
-- WAGNER GEORGES
177 THOMAS ST
BRENTWOOD, NY 11717-1239
Phone number: 631-951-3536
Mailing Address
-- WAGNER GEORGES
177 THOMAS ST
BRENTWOOD, NY 11717-1239
Phone number:
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