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1225015050
KEITH WAGGONER
PARKERSBURG, WV
NPI
1225015050
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: WV 18247)
Enumeration Date
2005-12-22
Last Update Date
2008-06-12
Business Address
-- KEITH WAGGONER MD
1824 MURDOCH AVE
PARKERSBURG, WV 26101-3230
Phone number: 304-424-4111
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Mailing Address
-- KEITH WAGGONER MD
5700 DARROW RD SUITE 106
HUDSON, OH 44236-5021
Phone number: 330-656-5911
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