JAMES EVERETT WAGNER

MEDFORD, OR
NPI1952842346
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2017-03-17
Last Update Date2018-02-26
Business Address
JAMES EVERETT WAGNER BS, QMHA
1175 E MAIN ST STE 1C
MEDFORD, OR 97504-7457
Phone number: 541-772-0127
Mailing Address
JAMES EVERETT WAGNER BS, QMHA
715 SW RAMSEY AVE
GRANTS PASS, OR 97527-5500
Phone number: 541-474-5579
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