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1649603036
ERIC MATTHEW WAGONER
FRESNO, CA
NPI
1649603036
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2013-08-21
Last Update Date
2015-06-19
Business Address
Mr. ERIC MATTHEW WAGONER PA-C
2139 E BEECHWOOD AVE
FRESNO, CA 93720-0340
Phone number: 559-322-6600
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Mailing Address
Mr. ERIC MATTHEW WAGONER PA-C
2139 E BEECHWOOD AVE
FRESNO, CA 93720-0340
Phone number: 209-402-1339
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