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1942533633
STEPHEN C WAGNER
PORTLAND, OR
NPI
1942533633
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: OR 3929)
Enumeration Date
2009-09-11
Last Update Date
2009-09-11
Business Address
Dr. STEPHEN C WAGNER D.C.
5802 SE POWELL BLVD
PORTLAND, OR 97206-2826
Phone number: 503-774-3778
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Mailing Address
Dr. STEPHEN C WAGNER D.C.
5802 SE POWELL BLVD
PORTLAND, OR 97206-2826
Phone number: 503-774-3778
Copy
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