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Canonical ID: NK-Rxd8X2zvfDwvwgoddnxqjD · Entity type: Person (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
Person:address | 515 Cabrillo Park Drive, Suite 120, Santa Ana, CA, 92701 | eng | us_ca_med_exclusions | us-medca-f0339131e7c968dfb3973200ed80d370554fdad1 | |||
Person:country | us | eng | us_ca_med_exclusions | us-medca-f0339131e7c968dfb3973200ed80d370554fdad1 | |||
Person:firstName | Mark | eng | us_ca_med_exclusions | us-medca-f0339131e7c968dfb3973200ed80d370554fdad1 | |||
Person:id | 0a5d189d873d6c6eb4158ab2f3df5310c7002583 | eng | us_ca_med_exclusions | us-medca-f0339131e7c968dfb3973200ed80d370554fdad1 | |||
Person:lastName | Wagner | eng | us_ca_med_exclusions | us-medca-f0339131e7c968dfb3973200ed80d370554fdad1 | |||
Person:middleName | Stephen | eng | us_ca_med_exclusions | us-medca-f0339131e7c968dfb3973200ed80d370554fdad1 | |||
Person:name | Mark Stephen Wagner | eng | us_ca_med_exclusions | us-medca-f0339131e7c968dfb3973200ed80d370554fdad1 | |||
Person:npiCode | 1700821709 | eng | us_ca_med_exclusions | us-medca-f0339131e7c968dfb3973200ed80d370554fdad1 | |||
Person:registrationNumber | G 42267 | eng | us_ca_med_exclusions | us-medca-f0339131e7c968dfb3973200ed80d370554fdad1 | |||
Person:registrationNumber | 00G422670 | eng | us_ca_med_exclusions | us-medca-f0339131e7c968dfb3973200ed80d370554fdad1 | |||
Person:sector | Physician | eng | us_ca_med_exclusions | us-medca-f0339131e7c968dfb3973200ed80d370554fdad1 | |||
Person:topics | debarment | eng | us_ca_med_exclusions | us-medca-f0339131e7c968dfb3973200ed80d370554fdad1 | |||