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1023180445
JESSICA H WAGENER
MIDDLEBURY, VT
NPI
1023180445
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: VT 0420008940)
Enumeration Date
2006-11-14
Last Update Date
2007-07-08
Business Address
JESSICA H WAGENER MD
115 PORTER DRIVE PORTER HOSPITAL
MIDDLEBURY, VT 05753
Phone number: 802-388-4001
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Mailing Address
JESSICA H WAGENER MD
115 PORTER DRIVE SUSAN SPITZNER FINANCE DEPT
MIDDLEBURY, VT 05753
Phone number: 802-388-5607
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