JUSTIN JOHN WAGNER

BROOKLYN, NY
NPI1871121798
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-03-27
Last Update Date2020-03-27
Business Address
JUSTIN JOHN WAGNER
2601 OCEAN PKWY
BROOKLYN, NY 11235-7745
Phone number: 718-616-3000
Mailing Address
JUSTIN JOHN WAGNER
2601 OCEAN PKWY
BROOKLYN, NY 11235-7745
Phone number:
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