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1003143009
BARBARA LYNETTE WAGNER
SALEM, OR
NPI
1003143009
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: OR 252548)
Enumeration Date
2009-11-11
Last Update Date
2009-11-11
Business Address
MISS BARBARA LYNETTE WAGNER MOTR/L
820 COTTAGE ST NE
SALEM, OR 97301-2426
Phone number: 503-399-0202
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Mailing Address
MISS BARBARA LYNETTE WAGNER MOTR/L
1824 DENALI DR E
MONMOUTH, OR 97361-1883
Phone number:
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