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1639498553
ROBERT FREDRICK WAGNER
JACKSONVILLE, FL
NPI
1639498553
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL dn06501)
Enumeration Date
2010-05-18
Last Update Date
2010-05-18
Business Address
Dr. ROBERT FREDRICK WAGNER d.d.s.
9616 BEAUCLERC BLUFF RD
JACKSONVILLE, FL 32257-5703
Phone number: 904-731-4742
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Mailing Address
Dr. ROBERT FREDRICK WAGNER d.d.s.
9616 BEAUCLERC BLUFF RD
JACKSONVILLE, FL 32257-5703
Phone number: 904-731-4742
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