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1043296171
PHILIP JON WAGNER
BEAUFORT, SC
NPI
1043296171
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111NI0900X Chiropractor, Internist
(Licence: SC 1633)
Enumeration Date
2005-12-20
Last Update Date
2007-07-08
Business Address
Dr. PHILIP JON WAGNER DC
1 PINCKNEY BLVD NAVAL HOSPITAL BEAUFORT ATTN PROFESSIONAL AFFAIRS
BEAUFORT, SC 29902-6122
Phone number: 843-228-5577
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Mailing Address
Dr. PHILIP JON WAGNER DC
1 PINCKNEY BLVD NAVAL HOSPITAL BEAUFORT ATTN PROFESSIONAL AFFAIRS
BEAUFORT, SC 29902-6122
Phone number: 843-228-5577
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