CHASE WAGNER

ESCONDIDO, CA
NPI1528510930
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  95004029)
Enumeration Date2016-11-01
Last Update Date2016-11-01
Business Address
CHASE WAGNER NP-C
1955 CITRACADO PKWY SUITE 300
ESCONDIDO, CA 92029-4110
Phone number: 760-743-0546
Mailing Address
CHASE WAGNER NP-C
15611 POMERADO RD FIFTH FLOOR
POWAY, CA 92064-2437
Phone number: 858-673-2574
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