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1538658935
LUKE WAGGONER
PHILADELPHIA, PA
NPI
1538658935
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-05-02
Last Update Date
2018-05-02
Business Address
LUKE WAGGONER MD
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4238
Phone number: 215-662-7366
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Mailing Address
LUKE WAGGONER MD
1245 PARK AVE
NEW YORK, NY 10128-1735
Phone number:
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