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Individual
BRANDEN J WAGNER
Active
Individual
BRANDEN J WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
7401001
OH
253Z00000X
In Home Supportive Care Agency
7401001
OH
347C00000X
Private Vehicle
7401001
OH
3747P1801X
Personal Care Attendant
7401001
OH
376J00000X
Homemaker
Primary
7401001
OH
376J00000X
Homemaker
—
OH
385H00000X
Respite Care
7401001
OH
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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