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1447333521
THOR WAGNER
SEATTLE, WA
NPI
1447333521
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080P0208X Pediatrics, Pediatric Infectious Diseases
(Licence: WA MD00044528)
Enumeration Date
2006-10-23
Last Update Date
2007-07-08
Business Address
-- THOR WAGNER MD
1959 NE PACIFIC ST C212, BOX 356340
SEATTLE, WA 98195-6340
Phone number: 206-543-0065
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Mailing Address
-- THOR WAGNER MD
1959 NE PACIFIC ST C212, BOX 356340
SEATTLE, WA 98195-6340
Phone number:
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