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1104054923
MARIE SUSAN WAGENER
ALLENTOWN, PA
NPI
1104054923
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: PA OS016478)
Enumeration Date
2009-07-01
Last Update Date
2020-08-19
Business Address
Dr. MARIE SUSAN WAGENER D.O.
250 CETRONIA RD SUITE 301
ALLENTOWN, PA 18104-9147
Phone number: 610-437-2378
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Mailing Address
Dr. MARIE SUSAN WAGENER D.O.
250 CETRONIA RD SUITE 301
ALLENTOWN, PA 18104-9147
Phone number: 610-437-2378
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