DR. Jeffrey Lynn Wagnon, D.C.

NPI #1366591356 in Mansfield, Texas

Provider Information

NPI Number: 1366591356
Entity Type: Individual
Name: DR. Jeffrey Lynn Wagnon, D.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Jan 9, 2007
Last Updated: Jan 2, 2013

Practice Location

Address: 309 REGENCY PKWY STE 205
City: Mansfield
State: Texas
ZIP Code: 76063-7305
Phone: (817) 453-0430

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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