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Organization
WAGNER CHIROPRACTIC CENTER PLLC
Active
Organization
WAGNER CHIROPRACTIC CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDEN ELLIOTT TEETS D.C. (SOLE MEMBER)
(724) 880-2989
Entity
Organization
Contact information
Practice address
4 N RAILROAD ST, PALMYRA, PA 17078-1720
(717) 838-8889
Mailing address
4 N RAILROAD ST, PALMYRA, PA 17078-1720
(717) 838-8889
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC010272
PA
Other
Enumeration date
05/25/2010
Last updated
05/25/2010
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