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1619593407
CONNOR WAGNER
JBSA LACKLAND, TX
NPI
1619593407
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NE 34103)
Enumeration Date
2020-06-17
Last Update Date
2023-08-18
Business Address
Dr. CONNOR WAGNER MD
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236-5638
Phone number: 210-292-0515
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Mailing Address
Dr. CONNOR WAGNER MD
1940 CARSWELL AVE BLDG 7002
JBSA LACKLAND, TX 78236-5514
Phone number: 210-292-0515
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