ALLAN KOSUKE WAGNER

VENTURA, CA
NPI1700371523
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  20A18045)
Enumeration Date2018-06-25
Last Update Date2021-06-28
Business Address
DR. ALLAN KOSUKE WAGNER DO
2721 E MAIN ST
VENTURA, CA 93003-2803
Phone number: 805-667-2841
Mailing Address
DR. ALLAN KOSUKE WAGNER DO
147 N BRENT ST
VENTURA, CA 93003-2809
Phone number:
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