BRANDON JAMES WAGNER

LAFAYETTE, IN
NPI1801567524
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy111N00000X Chiropractor
(Licence: IN  08003257A)
Enumeration Date2021-09-22
Last Update Date2021-09-22
Business Address
DR. BRANDON JAMES WAGNER DC
3778 UNION ST
LAFAYETTE, IN 47905-4453
Phone number: 765-448-1674
Mailing Address
DR. BRANDON JAMES WAGNER DC
6504 AMHERST WAY
ZIONSVILLE, IN 46077-9138
Phone number: 765-412-2490
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