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1255070553
EMILY KATE WAGNER
WACO, TX
NPI
1255070553
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX BP10078996)
Enumeration Date
2022-06-03
Last Update Date
2022-06-03
Business Address
EMILY KATE WAGNER MD
1600 PROVIDENCE DR
WACO, TX 76707-2261
Phone number: 254-313-4765
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Mailing Address
EMILY KATE WAGNER MD
1600 PROVIDENCE DR
WACO, TX 76707-2261
Phone number: 254-313-4765
Copy
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