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1316987753
ELLEN ROGERS WAGNER
JACKSONVILLE, FL
NPI
1316987753
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: FL 2306)
Enumeration Date
2006-06-07
Last Update Date
2018-01-05
Business Address
Dr. ELLEN ROGERS WAGNER OD
806 RIVERSIDE AVE SUITE 100
JACKSONVILLE, FL 32204-3337
Phone number: 904-356-7101
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Mailing Address
Dr. ELLEN ROGERS WAGNER OD
806 RIVERSIDE AVE SUITE 100
JACKSONVILLE, FL 32204-3337
Phone number: 904-356-7101
Copy
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