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1629067517
TODD L WAGNER
NORFOLK, VA
NPI
1629067517
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine
(Licence: CA 20A8267)
Enumeration Date
2005-10-14
Last Update Date
2008-07-21
Business Address
Dr. TODD L WAGNER D.O., M.P.H.
1887 POWHATAN ST. NAVY ENVIRONMENTAL AND PREVENTIVE MEDICINE UNIT 2
NORFOLK, VA 23511
Phone number: 757-935-6552
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Mailing Address
Dr. TODD L WAGNER D.O., M.P.H.
2773 PLEASANT ACRES DR
VIRGINIA BEACH, VA 23453-7326
Phone number: 757-953-6552
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