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1609525864
ERIC LEE WAGNER
PHILADELPHIA, PA
NPI
1609525864
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-23
Last Update Date
2022-03-23
Business Address
ERIC LEE WAGNER MD
3535 MARKET ST FL 2
PHILADELPHIA, PA 19104-3317
Phone number: 215-746-7222
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Mailing Address
ERIC LEE WAGNER MD
7336 S PIERCE CT
LITTLETON, CO 80128-4517
Phone number: 719-661-7290
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