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1326405879
RICHARD WAGNER
TULSA, OK
NPI
1326405879
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK 2606)
Enumeration Date
2016-01-27
Last Update Date
2018-06-07
Business Address
RICHARD WAGNER PA-C
2325 S HARVARD AVE
TULSA, OK 74114
Phone number: 918-712-4301
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Mailing Address
RICHARD WAGNER PA-C
2325 S HARVARD AVE
TULSA, OK 74114-3300
Phone number: 918-712-4301
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