Daylen Wagoner

NPI #1043097462 in Aurora, Illinois

Provider Information

NPI Number: 1043097462
Entity Type: Individual
Name: Daylen Wagoner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Sep 11, 2023
Last Updated: Sep 11, 2023

Practice Location

Address: 347 S GLADSTONE AVE
City: Aurora
State: Illinois
ZIP Code: 60506-4877
Phone: (630) 892-6431

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X

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