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Luke Wagner, SOIDC
NPI 1013589407 · on the registry since 2021
Practice
- Address
- 917 3rd St
Coronado, CA 92118 - Phone
- (305) 793-4777
Registry record
- Primary taxonomy
- Independent Duty Corpsman
1710I1002X
- Sex
- Male
- Record last updated
- 2021-07-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California