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Organization
VAN WAGNER CHIROPRACTIC
Active
Organization
VAN WAGNER CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED ANTHONY VAN WAGNER D.C. (OWNER)
(239) 775-6416
Entity
Organization
Contact information
Practice address
7550 MISSION HILLS DR, SUITE 316, NAPLES, FL 34119-9603
(239) 775-6416
(239) 775-6407
Mailing address
7550 MISSION HILLS DR, SUITE 316, NAPLES, FL 34119-9603
(239) 775-6416
(239) 775-6407
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH10841
FL
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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