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1326033614
STEVEN DANIEL WAGNER
CHICO, CA
NPI
1326033614
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 020A53980)
Enumeration Date
2005-09-13
Last Update Date
2010-02-03
Business Address
-- STEVEN DANIEL WAGNER DO
114 MISSION RANCH BLVD STE 10
CHICO, CA 95926-2186
Phone number: 530-894-0500
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Mailing Address
-- STEVEN DANIEL WAGNER DO
114 MISSION RANCH BLVD STE 10
CHICO, CA 95926-2186
Phone number: 530-894-0500
Copy
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