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1609819044
JOHN MARK WAGNER
OLYMPIA, WA
NPI
1609819044
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: WA 29438)
Enumeration Date
2006-06-14
Last Update Date
2010-06-03
Business Address
-- JOHN MARK WAGNER MD
3624 ENSIGN RD NE STE B
OLYMPIA, WA 98506-5074
Phone number: 360-493-6400
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Mailing Address
-- JOHN MARK WAGNER MD
804 SCOTT NIXON MEMORIAL DR
AUGUSTA, GA 30907-2464
Phone number:
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