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1801388863
ZACHARY PATRICK WAGNER
PEORIA, AZ
NPI
1801388863
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ tap11338)
Enumeration Date
2018-06-05
Last Update Date
2018-11-29
Business Address
Mr. ZACHARY PATRICK WAGNER FNP-C
8877 W UNION HILLS DR STE 240
PEORIA, AZ 85382
Phone number: 623-217-2500
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Mailing Address
Mr. ZACHARY PATRICK WAGNER FNP-C
8877 W UNION HILLS DR STE 240
PEORIA, AZ 85382-3016
Phone number: 623-217-2500
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