JOHNATHAN LIVINGSTON WAGNER

DAYTONA BEACH, FL
NPI1881628220
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy111NX0800X Chiropractor, Orthopedic
(Licence: FL  CH8731)
Enumeration Date2006-07-10
Last Update Date2008-02-15
Business Address
Dr. JOHNATHAN LIVINGSTON WAGNER BS,DC
542 N RIDGEWOOD AVE
DAYTONA BEACH, FL 32114-2170
Phone number: 386-258-7494
Mailing Address
Dr. JOHNATHAN LIVINGSTON WAGNER BS,DC
542 N. RIDGEWOOD AVE.
DAYTONA BEACH, FL 32114
Phone number: 386-258-7494
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