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1891721833
PHILLIP L WAGNER
GEORGETOWN, KY
NPI
1891721833
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: KY 25974)
Enumeration Date
2006-06-23
Last Update Date
2007-07-08
Business Address
Dr. PHILLIP L WAGNER MD
1140 LEXINGTON RD
GEORGETOWN, KY 40324-9330
Phone number: 502-868-1100
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Mailing Address
Dr. PHILLIP L WAGNER MD
106 WINDRIDGE DR
NICHOLASVILLE, KY 40356-8029
Phone number:
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