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1588981435
REX DWAYNE WAGGONER
NEW YORK, NY
NPI
1588981435
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 272098)
Enumeration Date
2010-04-30
Last Update Date
2019-11-07
Business Address
Dr. REX DWAYNE WAGGONER M.D.
138 DELANCEY ST
NEW YORK, NY 10002-3325
Phone number: 212-609-2541
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Mailing Address
Dr. REX DWAYNE WAGGONER M.D.
1345 RXR PLZ
UNIONDALE, NY 11556-1301
Phone number: 516-783-4600
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