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1700106739
SHELLEY E WAGNER
BANGOR, ME
NPI
1700106739
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Former Name
SHELLEY WAITS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AL 31246)
Enumeration Date
2010-06-01
Last Update Date
2023-08-23
Business Address
SHELLEY E WAGNER M.D.
895 UNION ST STE 12
BANGOR, ME 04401-3054
Phone number: 207-973-7979
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Mailing Address
SHELLEY E WAGNER M.D.
43 WHITING HILL RD STE 300
BREWER, ME 04412-1006
Phone number: 207-973-5000
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