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1134189251
JOANNE E WAGNER
WAKE FOREST, NC
NPI
1134189251
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: NC 200300536)
Enumeration Date
2006-03-24
Last Update Date
2013-07-09
Business Address
Dr. JOANNE E WAGNER MD
11130 CAPITAL BLVD
WAKE FOREST, NC 27587-4513
Phone number: 919-488-4094
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Mailing Address
Dr. JOANNE E WAGNER MD
260 HORIZON DR
RALEIGH, NC 27615-4922
Phone number: 919-488-0015
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