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1588008130
G LANE WAGAMAN ED.D. PLLC
CARY, NC
NPI
1588008130
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Entity Type
Organization
Authorized Contact
G LANE WAGAMAN
Sole Member
919-803-6393
Organization Subpart ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: NC 1489)
Enumeration Date
2013-04-25
Last Update Date
2013-04-25
Business Address
G LANE WAGAMAN ED.D. PLLC
400 KEISLER DR
CARY, NC 27518-7069
Phone number: 919-803-6393
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Mailing Address
G LANE WAGAMAN ED.D. PLLC
PO BOX 1424
APEX, NC 27502-3424
Phone number: 919-803-6393
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