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1396955589
GWENDOLYN FIELD WAGONER
WINSTON SALEM, NC
NPI
1396955589
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: NC 2007-00840)
Enumeration Date
2007-05-23
Last Update Date
2019-05-31
Business Address
Dr. GWENDOLYN FIELD WAGONER M.D.
110 CHARLOIS BLVD
WINSTON SALEM, NC 27103-1522
Phone number: 336-768-3361
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Mailing Address
Dr. GWENDOLYN FIELD WAGONER M.D.
110 CHARLOIS BLVD
WINSTON SALEM, NC 27103-1522
Phone number: 336-768-3361
Copy
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