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1023139326
LESLIE MICHELLE WAGNER
AMARILLO, TX
NPI
1023139326
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: TX MT042949)
Enumeration Date
2007-04-03
Last Update Date
2007-07-08
Business Address
-- LESLIE MICHELLE WAGNER LMT
2710 CIVIC CIR
AMARILLO, TX 79109-1648
Phone number: 806-236-7234
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Mailing Address
-- LESLIE MICHELLE WAGNER LMT
2114 S TYLER ST
AMARILLO, TX 79109-2633
Phone number:
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