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1326009143
ERIC JOHN WAGNER
HAMPTON, IA
NPI
1326009143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IA 06932)
Enumeration Date
2006-03-31
Last Update Date
2007-07-08
Business Address
Dr. ERIC JOHN WAGNER D.D.S.
112 2ND AVE NW
HAMPTON, IA 50441-1724
Phone number: 641-456-2625
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Mailing Address
Dr. ERIC JOHN WAGNER D.D.S.
1643 HIGHWAY 65
HAMPTON, IA 50441-7444
Phone number: 641-456-5472
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