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Shawn Carl Wagner
Home Modifications Contractor in Clyde, Ohio
NPI 1235496639

Shawn Carl Wagner is a Home Modifications Contractor based in Clyde, OH and is specialized in Home Modifications. Shawn Carl Wagner practices in Clyde, OH. The NPI Number for Shawn Carl Wagner is 1235496639 and holds a License No. (Ohio).

The current practice location address for Shawn Carl Wagner is 2545 County Road 218, Clyde, OH and can be reached out via phone at 419-307-0529.

Location: 2545 County Road 218, Clyde, OH, 43410-9521
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235496639
Provider Name
Shawn Carl Wagner
Credential
Provider Entity Type
Individual
Gender
Male
Address
2545 County Road 218, Clyde, OH, 43410-9521
Phone Number
419-307-0529
Fax Number
Provider Enumeration Date
04/23/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2545 County Road 218
City
Clyde
State
Ohio
Zip
43410-9521
Phone Number
419-307-0529
Fax Number
person
Provider Business Mailing Address Details
Address
2545 County Road 218
City
Clyde
State
Ohio
Zip
43410-9521
Phone Number
419-307-0529
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
Home Modifications
Taxonomy
171WH0202X
License No.
()
Definition
Definition to come...
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