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Individual
CATHERINE Y.H. WAGONER
Active
Individual
CATHERINE Y.H. WAGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
9839
NV
208000000X
Pediatrics Physician
Primary
MD171324
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002016768
—
NV
Enumeration date
02/09/2006
Last updated
03/25/2021
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