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Individual

DR. ROCHELLE M. WAGNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
4687 MORSE RD, SEARS OPTICAL, GAHANNA, OH 43230-1375
(614) 478-7244
(614) 478-4507
Mailing address
4687 MORSE RD, SEARS OPTICAL, GAHANNA, OH 43230-1375
(614) 478-7244
(614) 478-4507

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618001173
VA
152W00000X
Optometrist
Primary
4885
OH

Other

Enumeration date
12/21/2006
Last updated
08/31/2012
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