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1871119123
JORDYN H WAGNER
HUNTSVILLE, AL
NPI
1871119123
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: AL 5312)
Enumeration Date
2020-06-23
Last Update Date
2020-06-23
Business Address
JORDYN H WAGNER OT
4715 WHITESBURG DR SE STE 100
HUNTSVILLE, AL 35802-1632
Phone number: 256-319-8500
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Mailing Address
JORDYN H WAGNER OT
251 JOHNSTON ST SE STE 200
DECATUR, AL 35601-2515
Phone number: 256-350-1764
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