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1336477736
FELIPE VICTORA WAGNER
SAN DIEGO, CA
NPI
1336477736
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: ZZ 30021)
Enumeration Date
2009-11-23
Last Update Date
2009-11-23
Business Address
Dr. FELIPE VICTORA WAGNER MD
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161-0002
Phone number: 858-552-8585
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Mailing Address
Dr. FELIPE VICTORA WAGNER MD
8510 COSTA VERDE BLVD APT 2224
SAN DIEGO, CA 92122-1162
Phone number: 858-552-8585
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