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1043895261
STEPHEN JAMES WAGGONER
WINSTON SALEM, NC
NPI
1043895261
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC P15783)
Enumeration Date
2021-03-10
Last Update Date
2021-06-16
Business Address
STEPHEN JAMES WAGGONER PT
190 KIMEL PARK DR STE 139
WINSTON SALEM, NC 27103-6946
Phone number: 336-718-6931
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Mailing Address
STEPHEN JAMES WAGGONER PT
PO BOX 601791
CHARLOTTE, NC 28260-1791
Phone number: 336-718-6931
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