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1154534733
JAMIE LYNN WAGNER
HOUSTON, TX
NPI
1154534733
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: TX M3784)
Enumeration Date
2007-05-08
Last Update Date
2012-10-17
Business Address
-- JAMIE LYNN WAGNER D.O.
1515 HOLCOMBE BLVD
HOUSTON, TX 77030-4009
Phone number: 713-792-6161
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Mailing Address
-- JAMIE LYNN WAGNER D.O.
P O BOX 4439
HOUSTON, TX 77210-4439
Phone number: 713-792-2991
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