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Jordan Wagner
NPI 1982495479 · on the registry since 2025 · sole proprietor
Practice
- Address
- 112 N 3rd St
La Salle, CO 80645 - Phone
- (970) 415-6592
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-05-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado