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1194543959
ELIZABETH WAGNER
BETHLEHEM, PA
NPI
1194543959
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA MA066058)
Enumeration Date
2024-10-01
Last Update Date
2024-10-01
Business Address
ELIZABETH WAGNER PAC
801 OSTRUM ST
BETHLEHEM, PA 18015-1000
Phone number: 484-526-4641
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Mailing Address
ELIZABETH WAGNER PAC
801 OSTRUM ST
BETHLEHEM, PA 18015-1000
Phone number: 484-526-4641
Copy
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