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1376899625
WAGONER FAMILY EYE CARE, PLLC
LYNCHBURG, VA
NPI
1376899625
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Entity Type
Organization
Authorized Contact
ROBERT L WAGONER
President
434-385-0213
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: VA 0618002121)
Enumeration Date
2012-07-24
Last Update Date
2012-07-24
Business Address
WAGONER FAMILY EYE CARE, PLLC
3701 OLD FOREST RD SUITE B
LYNCHBURG, VA 24501-6901
Phone number: 434-385-0213
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Mailing Address
WAGONER FAMILY EYE CARE, PLLC
3701 OLD FOREST RD SUITE B
LYNCHBURG, VA 24501-6901
Phone number: 434-385-0213
Copy
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