Individual
DON WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
406 MADISON AVE, TYRONE, PA 16686-1240
(814) 932-6758
Mailing address
406 MADISON AVENEUE, TYRONE, PA 16686
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/17/2014
Last updated
01/17/2014
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