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1558326587
EDWIN WALTER WAGER
STOCKTON, CA
NPI
1558326587
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA G29953)
Enumeration Date
2006-04-20
Last Update Date
2010-07-09
Business Address
-- EDWIN WALTER WAGER MD
2505 W HAMMER LN
STOCKTON, CA 95209-2839
Phone number: 209-957-7050
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Mailing Address
-- EDWIN WALTER WAGER MD
600 COFFEE RD
MODESTO, CA 95355-4201
Phone number: 209-524-1211
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