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1851928881
STEPHANIE BING WAGNER
PROVIDENCE, RI
NPI
1851928881
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: RI LP04848)
Enumeration Date
2020-03-27
Last Update Date
2020-06-01
Business Address
STEPHANIE BING WAGNER MD/MPH
593 EDDY ST
PROVIDENCE, RI 02903
Phone number: 401-444-8450
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Mailing Address
STEPHANIE BING WAGNER MD/MPH
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-3762
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