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1588684609
VIRGINIA WAGNER
ORANGEBURG, SC
NPI
1588684609
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: SC 15100)
Enumeration Date
2006-07-20
Last Update Date
2007-07-09
Business Address
Dr. VIRGINIA WAGNER MD
3310 MAGNOLIA ST
ORANGEBURG, SC 29115-1466
Phone number: 803-531-6900
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Mailing Address
Dr. VIRGINIA WAGNER MD
3310 MAGNOLIA ST
ORANGEBURG, SC 29115-1466
Phone number: 803-531-6900
Copy
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