VINCE JOHN WAGNER

JUNEAU, AK
NPI1942467600
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: AK  slps143)
Enumeration Date2008-05-20
Last Update Date2008-05-20
Business Address
-- VINCE JOHN WAGNER m.s. ccc-slp
104 TROY AVE
JUNEAU, AK 99801-1453
Phone number: 907-586-7606
Mailing Address
-- VINCE JOHN WAGNER m.s. ccc-slp
104 TROY AVE
JUNEAU, AK 99801-1453
Phone number: 907-586-7606
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