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1104176593
KIMBERLY N WAGNER
HENDERSON, NV
NPI
1104176593
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: NV 2757)
Enumeration Date
2012-09-13
Last Update Date
2019-09-30
Business Address
Dr. KIMBERLY N WAGNER DPT
750 CORONADO CENTER DR SUITE 120
HENDERSON, NV 89052-5034
Phone number: 702-564-4116
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Mailing Address
Dr. KIMBERLY N WAGNER DPT
6617 SUNSET PINES ST
LAS VEGAS, NV 89148-4251
Phone number: 903-453-1709
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