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Individual
MR. WARD FREDERICK WAGENSELLER
Active
Individual
MR. WARD FREDERICK WAGENSELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, EMT-P
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
592108
CA
Other
Enumeration date
11/18/2011
Last updated
11/18/2011
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