Shawn A Wagner

NPI #1124621560 in Massillon, Ohio

Provider Information

NPI Number: 1124621560
Entity Type: Individual
Name: Shawn A Wagner
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Nov 18, 2020
Last Updated: Nov 18, 2020

Practice Location

Address: 8115 WINDY LN NW
City: Massillon
State: Ohio
ZIP Code: 44646-1188
Phone: (330) 806-4112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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