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1033202502
MARK ELLIOT WAGNER
READING, PA
NPI
1033202502
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: PA OS005358-L)
Enumeration Date
2006-10-02
Last Update Date
2020-02-11
Business Address
MARK ELLIOT WAGNER D.O.
623 NORTH 5TH STREET
READING, PA 19601
Phone number: 610-374-8585
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Mailing Address
MARK ELLIOT WAGNER D.O.
623 N 5TH ST
READING, PA 19601-2201
Phone number: 610-374-8585
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