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1538420351
ADAM RICHARD WAGGONER
YAKIMA, WA
NPI
1538420351
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: WA OP60840174)
Enumeration Date
2012-06-07
Last Update Date
2022-04-13
Business Address
ADAM RICHARD WAGGONER DO
200 UNIVERSITY PKWY
YAKIMA, WA 98901-9539
Phone number: 509-452-5100
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Mailing Address
ADAM RICHARD WAGGONER DO
1016 TACOMA AVE
SUNNYSIDE, WA 98944-2263
Phone number: 509-837-1500
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