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1104095306
ELIZABETH FORSYTHE WAGNER
SAN DIEGO, CA
NPI
1104095306
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MA 10521)
Enumeration Date
2008-02-21
Last Update Date
2015-05-19
Business Address
Ms. ELIZABETH FORSYTHE WAGNER MSPT
11590 W BERNARDO CT STE 100
SAN DIEGO, CA 92127-1624
Phone number: 858-432-4749
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Mailing Address
Ms. ELIZABETH FORSYTHE WAGNER MSPT
11590 W BERNARDO CT STE 100
SAN DIEGO, CA 92127-1624
Phone number: 858-432-4749
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