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1881644292
TIMOTHY ALLEN WAGNER
BROKEN ARROW, OK
NPI
1881644292
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: OK 3225)
Enumeration Date
2006-05-10
Last Update Date
2014-07-10
Business Address
-- TIMOTHY ALLEN WAGNER D.C.
2016 W. HOUSTON
BROKEN ARROW, OK 74012
Phone number: 918-742-2094
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Mailing Address
-- TIMOTHY ALLEN WAGNER D.C.
2016 W. HOUSTON
BROKEN ARROW, OK 74012
Phone number: 918-742-2094
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