Individual
CLARA DURIE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2155 ALLENTOWN RD, LIMA, OH 45805-1705
(419) 228-3800
Mailing address
611 BITTERSWEET DR, COLDWATER, OH 45828-1402
(419) 953-2319
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT.007110
OH
Other
Enumeration date
02/08/2023
Last updated
02/08/2023
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