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1245557198
CLIFFORD WILLIAM WAGNER
VANCOUVER, WA
NPI
1245557198
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA MD00032505)
Enumeration Date
2010-04-30
Last Update Date
2010-04-30
Business Address
CLIFFORD WILLIAM WAGNER M.D.
9120 NE VANCOUVER MALL LOOP SUITE 230
VANCOUVER, WA 98662-6353
Phone number: 360-896-9393
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Mailing Address
CLIFFORD WILLIAM WAGNER M.D.
9120 NE VANCOUVER MALL LOOP SUITE 230
VANCOUVER, WA 98662-6353
Phone number: 360-896-9393
Copy
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