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1568924231
BENJAMIN WAGNER
TACOMA, WA
NPI
1568924231
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: WA 61339518)
Enumeration Date
2019-04-02
Last Update Date
2024-03-20
Business Address
BENJAMIN WAGNER MD
9040 JACKSON AVENUE
TACOMA, WA 98431-0001
Phone number: 253-968-3066
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Mailing Address
BENJAMIN WAGNER MD
9040 JACKSON AVENUE
TACOMA, WA 98431-0001
Phone number: 253-968-3066
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