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1710090428
MONTE WAGNER
DANBURY, CT
NPI
1710090428
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F333996)
Enumeration Date
2006-08-16
Last Update Date
2010-03-15
Business Address
Mr. MONTE WAGNER NP
8 DELAY ST
DANBURY, CT 06810-6654
Phone number: 203-797-8330
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Mailing Address
Mr. MONTE WAGNER NP
3 CORNWALL DR
NEW MILFORD, CT 06776-5305
Phone number: 860-210-8098
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