JENNIFER LEE WAGONER

MACOMB, IL
NPI1861785206
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070015942)
Enumeration Date2011-05-18
Last Update Date2022-02-10
Business Address
Mrs. JENNIFER LEE WAGONER P.T.
505 E GRANT ST
MACOMB, IL 61455-3352
Phone number: 309-833-1733
Mailing Address
Mrs. JENNIFER LEE WAGONER P.T.
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
Phone number: 217-528-7541
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