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1841312188
ERIC WAGNER
NORWALK, CT
NPI
1841312188
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CT 001742)
Enumeration Date
2007-04-06
Last Update Date
2007-07-08
Business Address
-- ERIC WAGNER PA-C
24 STEVENS ST
NORWALK, CT 06850-3852
Phone number: 203-852-2671
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Mailing Address
-- ERIC WAGNER PA-C
24 STEVENS ST
NORWALK, CT 06850-3852
Phone number: 203-852-2671
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