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1952824211
PETER STEVEN WAGONER
KENNEWICK, WA
NPI
1952824211
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: WA OD60770099)
Enumeration Date
2017-07-19
Last Update Date
2022-07-21
Business Address
DR. PETER STEVEN WAGONER OD
8127 W GRANDRIDGE BLVD STE 110
KENNEWICK, WA 99336-7166
Phone number: 509-783-8383
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Mailing Address
DR. PETER STEVEN WAGONER OD
8127 W GRANDRIDGE BLVD STE 110
KENNEWICK, WA 99336-7166
Phone number: 509-783-8383
Copy
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