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1932179892
PAMELA WAGNER
SANTA CRUZ, CA
NPI
1932179892
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Former Name
PAMELA VOLLER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA13893)
Enumeration Date
2006-01-24
Last Update Date
2012-08-08
Business Address
-- PAMELA WAGNER
2900 CHANTICLEER AVE.
SANTA CRUZ, CA 95065-1816
Phone number: 831-462-7100
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Mailing Address
-- PAMELA WAGNER
2025 SOQUEL AVE.
SANTA CRUZ, CA 95062-1323
Phone number:
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