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1043218068
CARL WAGGONER
NEWARK, OH
NPI
1043218068
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OH 35-043176)
Enumeration Date
2005-07-13
Last Update Date
2010-06-21
Business Address
DR. CARL WAGGONER MD
1272 W MAIN ST BLDG. 5
NEWARK, OH 43055-2034
Phone number: 740-348-1788
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Mailing Address
DR. CARL WAGGONER MD
1272 W MAIN ST BLDG. 5
NEWARK, OH 43055-2034
Phone number: 740-348-1788
Copy
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