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1043233919
TOM L WAGNER
MURRAY, KY
NPI
1043233919
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: KY KY319)
Enumeration Date
2006-07-25
Last Update Date
2007-07-08
Business Address
DR. TOM L WAGNER
509 MAIN ST DR TOM L WAGNER
MURRAY, KY 42071
Phone number: 270-759-1210
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Mailing Address
DR. TOM L WAGNER
BOX 2784 MSU
MURRAY, KY 42071
Phone number: 270-759-1210
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