Individual
MR. JASON RUTLEDGE WAGNER II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8050 N 129TH AVE, OMAHA, NE 68142-1804
(531) 299-2340
Mailing address
8050 N 129TH AVE, OMAHA, NE 68142-1804
(531) 299-2340
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
03/12/2026
Last updated
03/12/2026
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