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1366540742
CHARLES JOHN WAGNER
SALEM, OR
NPI
1366540742
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207K00000X Allergy & Immunology
(Licence: OR OR14081)
Enumeration Date
2006-09-20
Last Update Date
2016-07-05
Business Address
-- CHARLES JOHN WAGNER MD
1793 13TH ST SE
SALEM, OR 97302-2541
Phone number: 503-362-8385
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Mailing Address
-- CHARLES JOHN WAGNER MD
1793 13TH ST SE
SALEM, OR 97302-2541
Phone number: 503-362-8385
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