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1053302299
JEANIE WAGENER
VANCOUVER, WA
NPI
1053302299
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WA LL00001505)
Enumeration Date
2005-11-04
Last Update Date
2007-07-08
Business Address
Ms. JEANIE WAGENER MS, CCC
1010 WASHINGTON ST
VANCOUVER, WA 98660-3167
Phone number: 360-699-6374
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Mailing Address
Ms. JEANIE WAGENER MS, CCC
1010 WASHINGTON ST
VANCOUVER, WA 98660-3167
Phone number: 360-699-6374
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