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1609535079
GARRETT JOSEPH WAGNER
FORT WORTH, TX
NPI
1609535079
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 136106)
Enumeration Date
2021-12-14
Last Update Date
2023-06-02
Business Address
GARRETT JOSEPH WAGNER CRNA
1500 S MAIN ST
FORT WORTH, TX 76104-4917
Phone number: 817-702-3431
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Mailing Address
GARRETT JOSEPH WAGNER CRNA
1500 S MAIN ST
FORT WORTH, TX 76104-4917
Phone number: 817-702-3431
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