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1285216630
CLAYTON WAGNER
TEMPLE, TX
NPI
1285216630
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: TX BP10074878)
Enumeration Date
2021-04-26
Last Update Date
2021-04-26
Business Address
CLAYTON WAGNER MD
2401 S 31ST ST
TEMPLE, TX 76508-0001
Phone number: 254-724-2366
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Mailing Address
CLAYTON WAGNER MD
2401 S 31ST ST
TEMPLE, TX 76508-0001
Phone number: 254-724-2366
Copy
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