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1225034853
GARY L WAGONER
CUMBERLAND, MD
NPI
1225034853
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MD D0022181)
Enumeration Date
2005-06-28
Last Update Date
2018-09-18
Business Address
Dr. GARY L WAGONER MD P A
925 BISHOP WALSH RD SUITE 4
CUMBERLAND, MD 21502
Phone number: 301-777-5326
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Mailing Address
Dr. GARY L WAGONER MD P A
925 BISHOP WALSH RD
CUMBERLAND, MD 21502-1845
Phone number: 301-777-5326
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