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Individual
DR. JARED A VANWAGNER
Active
Individual
DR. JARED A VANWAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2301009240
MI
111N00000X
Chiropractor
Primary
CH10841
FL
Other
Enumeration date
03/07/2007
Last updated
08/12/2013
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