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1932635653
TRAVIS RAY WAGNER
APO, AE
NPI
1932635653
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: VA 0401415734)
Enumeration Date
2017-05-02
Last Update Date
2020-10-07
Business Address
Dr. TRAVIS RAY WAGNER CAPT
86TH MEDICAL GROUP UNIT 3215
APO, AE 09094-3215
Phone number: 804-337-9700
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Mailing Address
Dr. TRAVIS RAY WAGNER CAPT
86TH MEDICAL GROUP UNIT 3215
APO, AE 09094-3215
Phone number: 804-337-9700
Copy
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