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1902634579
ROBERT ALLEN WAGNER
ALOHA, OR
NPI
1902634579
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-07-24
Last Update Date
2024-07-24
Business Address
ROBERT ALLEN WAGNER
4585 SW 185TH AVE
ALOHA, OR 97078-1557
Phone number: 503-591-9280
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Mailing Address
ROBERT ALLEN WAGNER
4585 SW 185TH AVE
ALOHA, OR 97078-1557
Phone number: 503-591-9280
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