ANTHONY JOSEPH WAGNER

SALEM, OR
NPI1790050433
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2012-03-13
Last Update Date2012-03-13
Business Address
-- ANTHONY JOSEPH WAGNER
3878 BEVERLY AVE NE BUILDING H
SALEM, OR 97305-1394
Phone number: 503-576-4692
Mailing Address
-- ANTHONY JOSEPH WAGNER
5285 SW NASH AVE
CORVALLIS, OR 97333-9312
Phone number: 503-459-7199
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