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1184689648
J KENT L WAGNER
PALMYRA, PA
NPI
1184689648
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: PA MD039317E)
Enumeration Date
2006-04-19
Last Update Date
2009-11-30
Business Address
Dr. J KENT L WAGNER MD
1400 S FORGE RD
PALMYRA, PA 17078-9519
Phone number: 717-838-1301
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Mailing Address
Dr. J KENT L WAGNER MD
1400 S FORGE RD
PALMYRA, PA 17078-9519
Phone number: 717-838-1301
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