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1982472775
SHAUN MICHAEL WAGNER
LOUISVILLE, TN
NPI
1982472775
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-12-12
Last Update Date
2023-12-12
Business Address
SHAUN MICHAEL WAGNER
3845 HOLSTON COLLEGE RD
LOUISVILLE, TN 37777-3105
Phone number: 865-637-9711
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Mailing Address
SHAUN MICHAEL WAGNER
200 TECH CENTER DR
KNOXVILLE, TN 37912-2747
Phone number: 865-637-9711
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