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1932725744
IAN WAGNER
ALLENTOWN, PA
NPI
1932725744
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-06-18
Last Update Date
2022-11-28
Business Address
IAN WAGNER
1401 W PENNSYLVANIA ST
ALLENTOWN, PA 18102-1036
Phone number: 484-640-6431
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Mailing Address
IAN WAGNER
1401 W PENNSYLVANIA ST
ALLENTOWN, PA 18102-1036
Phone number: 484-640-6431
Copy
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