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1679705941
CAROLYN M WAGNER
ROCHESTER, NY
NPI
1679705941
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 013447)
Enumeration Date
2009-08-19
Last Update Date
2021-05-11
Business Address
CAROLYN M WAGNER RPA-C
1425 PORTLAND AVE
ROCHESTER, NY 14621-3001
Phone number: 585-922-4000
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Mailing Address
CAROLYN M WAGNER RPA-C
100 KINGS HWY S
ROCHESTER, NY 14617-5504
Phone number: 585-922-4726
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