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Organization
WAGNER CHIROPRACTIC
Active
Organization
WAGNER CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD WAGNER (PRESIDENT)
(310) 230-2145
Entity
Organization
Contact information
Practice address
17383 W SUNSET BLVD STE A230, PACIFIC PALISADES, CA 90272-4181
(310) 230-2145
(310) 230-2152
Mailing address
17383 W SUNSET BLVD STE A230, PACIFIC PALISADES, CA 90272-4181
(310) 230-2145
(310) 230-2152
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11827
CA
Other
Enumeration date
01/28/2011
Last updated
01/28/2011
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