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1134326549
CHARLES AY WAGNER
HILO, HI
NPI
1134326549
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: HI PT 2674)
Enumeration Date
2007-06-29
Last Update Date
2022-07-21
Business Address
Dr. CHARLES AY WAGNER RN, DPT
69 RAILROAD AVE STE A4
HILO, HI 96720-7509
Phone number: 808-339-7861
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Mailing Address
Dr. CHARLES AY WAGNER RN, DPT
25-3420 PAKELEKIA ST
HILO, HI 96720-1318
Phone number: 808-989-2487
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