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1427040203
MARY K. WAGNER
SPOKANE VALLEY, WA
NPI
1427040203
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: WA MD60167561)
Enumeration Date
2005-08-18
Last Update Date
2011-07-29
Business Address
Dr. MARY K. WAGNER M.D.
1414 N VERCLER RD BUILDING 1
SPOKANE VALLEY, WA 99216-1092
Phone number: 509-928-6383
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Mailing Address
Dr. MARY K. WAGNER M.D.
1414 N VERCLER RD BUILDING 1
SPOKANE VALLEY, WA 99216-1092
Phone number: 509-928-6383
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