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1558870881
JORDAN WAGNER
DENVER, CO
NPI
1558870881
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CO PA.0005058)
Enumeration Date
2017-09-29
Last Update Date
2017-09-29
Business Address
JORDAN WAGNER PA-C
2975 ROSLYN ST
DENVER, CO 80238-3325
Phone number: 303-399-7900
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Mailing Address
JORDAN WAGNER PA-C
1955 ULSTER ST APT 154
DENVER, CO 80220-2059
Phone number: 720-323-9642
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