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1013640770
JONATHAN PAUL WAGER
BIRMINGHAM, AL
NPI
1013640770
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: OR 576416)
Enumeration Date
2022-07-08
Last Update Date
2022-07-08
Business Address
Mr. JONATHAN PAUL WAGER R.T. (R)(CT)(MR)(BD)
700 19TH ST S
BIRMINGHAM, AL 35233-1927
Phone number: 541-733-2411
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Mailing Address
Mr. JONATHAN PAUL WAGER R.T. (R)(CT)(MR)(BD)
1390 COUNTY RD. 411
CLANTON, AL 35045
Phone number:
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