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1407951668
SCOTT EDWARD WAGNON
EUGENE, OR
NPI
1407951668
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: OR PA01088)
Enumeration Date
2006-09-13
Last Update Date
2015-02-01
Business Address
Mr. SCOTT EDWARD WAGNON PA-C
2830 CRESCENT AVE
EUGENE, OR 97408-7397
Phone number: 541-686-9000
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Mailing Address
Mr. SCOTT EDWARD WAGNON PA-C
1655 S. ELM ST. #207
CANBY, OR 97013-3960
Phone number: 503-260-5433
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