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1801567524
BRANDON JAMES WAGNER
LAFAYETTE, IN
NPI
1801567524
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: IN 08003257A)
Enumeration Date
2021-09-22
Last Update Date
2021-09-22
Business Address
Dr. BRANDON JAMES WAGNER DC
3778 UNION ST
LAFAYETTE, IN 47905-4453
Phone number: 765-448-1674
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Mailing Address
Dr. BRANDON JAMES WAGNER DC
6504 AMHERST WAY
ZIONSVILLE, IN 46077-9138
Phone number: 765-412-2490
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