GERALD VAN WAGNER

NEVADA CITY, CA
NPI1851758551
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2016-01-26
Last Update Date2016-01-26
Business Address
Mr. GERALD VAN WAGNER
24077 HIGHWAY 49
NEVADA CITY, CA 95959-8519
Phone number: 530-265-9057
Mailing Address
Mr. GERALD VAN WAGNER
24077 HIGHWAY 49
NEVADA CITY, CA 95959-8519
Phone number: 530-265-9057
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