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1306831854
WAGNER GILBERT SANTIAGO
GASTONIA, NC
NPI
1306831854
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: NC 429)
Enumeration Date
2005-09-12
Last Update Date
2020-02-26
Business Address
Dr. WAGNER GILBERT SANTIAGO DPM
251 WILMOT DR
GASTONIA, NC 28054-4048
Phone number: 704-861-0425
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Mailing Address
Dr. WAGNER GILBERT SANTIAGO DPM
1600 E GUDE DR STE 200
ROCKVILLE, MD 20850-1496
Phone number: 301-933-7133
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