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1568551265
ROBERT LUKE WAGONER
DOVER, DE
NPI
1568551265
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: DE 13-0001302)
Enumeration Date
2006-10-12
Last Update Date
2010-11-16
Business Address
-- ROBERT LUKE WAGONER O. D.
885 S GOVERNORS AVE
DOVER, DE 19904-4158
Phone number: 302-734-5861
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Mailing Address
-- ROBERT LUKE WAGONER O. D.
885 S GOVERNORS AVE
DOVER, DE 19904-4158
Phone number: 302-734-5861
Copy
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