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Licenses
Medical Practice
Florida
524332
JOHNATHAN P WAGNER
Medical Practice at Bluebird Ct, Oconomowoc, WI
License number
Florida 524332
Issued Date
Dec 1, 2008
Effective Date
Jun 17, 2011
Expiration Date
Dec 1, 2010
Category
Health Care
Type
Emergency Medical Technician
Address
Address
1315 Bluebird Ct, Oconomowoc, WI 53066
Phone
(262) 894-6444
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