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1083952923
AMBER NICOLE WAGNER
POMPANO BEACH, FL
NPI
1083952923
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2013-01-28
Last Update Date
2013-01-28
Business Address
-- AMBER NICOLE WAGNER
4301 N FEDERAL HWY STE 2
POMPANO BEACH, FL 33064-6519
Phone number: 888-880-9270
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Mailing Address
-- AMBER NICOLE WAGNER
3903 BARRINGTON ST APT 2705
SAN ANTONIO, TX 78217-4160
Phone number: 210-563-2672
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