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1801347554
GEORGE ANDREW WAGGONER
DENVER, CO
NPI
1801347554
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: CO SA.0001218)
Enumeration Date
2016-10-18
Last Update Date
2016-10-18
Business Address
-- GEORGE ANDREW WAGGONER CSFA
2036 KRAMERIA ST
DENVER, CO 80207-3929
Phone number: 303-934-6970
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Mailing Address
-- GEORGE ANDREW WAGGONER CSFA
2036 KRAMERIA ST
DENVER, CO 80207-3929
Phone number: 303-934-6970
Copy
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