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1386031615
TRACEY WAGNER
SEATTLE, WA
NPI
1386031615
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: WA 60516088)
Enumeration Date
2015-04-24
Last Update Date
2019-08-08
Business Address
TRACEY WAGNER PA-C
325 9TH AVE HARBORVIEW MEDICAL CENTER
SEATTLE, WA 98104-2420
Phone number: 714-785-2063
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Mailing Address
TRACEY WAGNER PA-C
325 9TH AVE
SEATTLE, WA 98104-2420
Phone number: 206-520-5000
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