GARTH WAGENMAN

FLAGSTAFF, AZ
NPI1952599284
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: AZ  7849)
Enumeration Date2007-10-11
Last Update Date2007-10-11
Business Address
-- GARTH WAGENMAN PT
125 E ELM AVE STE 103
FLAGSTAFF, AZ 86001-3258
Phone number: 928-779-1679
Mailing Address
-- GARTH WAGENMAN PT
125 E ELM AVE STE 103
FLAGSTAFF, AZ 86001-3258
Phone number: 928-779-1679
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