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1003677246
JILL FRANCENE WAGNER
KIRKLAND, WA
NPI
1003677246
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA 00004042)
Enumeration Date
2024-01-16
Last Update Date
2024-01-16
Business Address
JILL FRANCENE WAGNER PT
12040 NE 128TH ST # MS -103
KIRKLAND, WA 98034-3013
Phone number: 425-531-4615
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Mailing Address
JILL FRANCENE WAGNER PT
27818 NE 141ST ST
DUVALL, WA 98019-6307
Phone number: 206-650-5675
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