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1366528721
RONALD W WAGNER
CALIFORNIA, PA
NPI
1366528721
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA RT003718)
Enumeration Date
2006-10-28
Last Update Date
2007-07-08
Business Address
Dr. RONALD W WAGNER ATC
250 UNIVERSITY AVE
CALIFORNIA, PA 15419-1341
Phone number: 724-938-4562
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Mailing Address
Dr. RONALD W WAGNER ATC
102 SUNRISE DR
PITTSBURGH, PA 15236-3752
Phone number: 412-853-1906
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