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1003836248
WILLIS H. WAGNER
LOS ANGELES, CA
NPI
1003836248
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2086S0129X Surgery, Vascular Surgery
(Licence: CA G049464)
Enumeration Date
2006-07-20
Last Update Date
2007-10-08
Business Address
Mr. WILLIS H. WAGNER M.D.
8631 W 3RD ST SUITE 615E
LOS ANGELES, CA 90048-5901
Phone number: 310-652-8132
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Mailing Address
Mr. WILLIS H. WAGNER M.D.
8631 W 3RD ST SUITE 615E
LOS ANGELES, CA 90048-5901
Phone number: 310-652-8132
Copy
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