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1184282188
ZACHARY WAGNER
FAIRFIELD, CA
NPI
1184282188
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 20A19527)
Enumeration Date
2019-06-04
Last Update Date
2022-09-09
Business Address
ZACHARY WAGNER DO
101 BODIN CIR
FAIRFIELD, CA 94535-1809
Phone number: 707-424-1110
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Mailing Address
ZACHARY WAGNER DO
101 BODIN CIR
FAIRFIELD, CA 94535-1809
Phone number: 707-423-3100
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