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1114974284
JOHN A WAGONER
GRAND ISLAND, NE
NPI
1114974284
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NE 14621)
Enumeration Date
2006-05-27
Last Update Date
2008-02-15
Business Address
Dr. JOHN A WAGONER M.D.
800 N ALPHA ST
GRAND ISLAND, NE 68803-4320
Phone number: 308-382-2010
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Mailing Address
Dr. JOHN A WAGONER M.D.
800 N ALPHA ST
GRAND ISLAND, NE 68803-4320
Phone number: 308-382-2010
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