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1952189003
DANIEL WAYNER WAGNER
BOUNTIFUL, UT
NPI
1952189003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-09-19
Last Update Date
2023-09-19
Business Address
DANIEL WAYNER WAGNER
415 MEDICAL DR STE A100
BOUNTIFUL, UT 84010-4995
Phone number: 801-683-1062
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Mailing Address
DANIEL WAYNER WAGNER
415 MEDICAL DR STE A100
BOUNTIFUL, UT 84010-4995
Phone number: 801-683-1062
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