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1619275617
GARY L WAGONER MD P A
CUMBERLAND, MD
NPI
1619275617
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Entity Type
Organization
Authorized Contact
GARY L WAGONER
Owner
301-777-5326
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MD D00822181)
Enumeration Date
2011-03-01
Last Update Date
2018-09-20
Business Address
GARY L WAGONER MD P A
925 BISHOP WALSH RD SUITE 4
CUMBERLAND, MD 21502-1845
Phone number: 301-777-5326
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Mailing Address
GARY L WAGONER MD P A
925 BISHOP WALSH RD SUITE 4
CUMBERLAND, MD 21502-1845
Phone number: 301-777-5326
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