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1104337385
MARCUS JAMES WAGNER
SARASOTA, FL
NPI
1104337385
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PTA27263)
Enumeration Date
2017-10-16
Last Update Date
2017-10-16
Business Address
MARCUS JAMES WAGNER PTA
2830 BEE RIDGE RD
SARASOTA, FL 34239-7115
Phone number: 941-927-1234
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Mailing Address
MARCUS JAMES WAGNER PTA
2830 BEE RIDGE RD
SARASOTA, FL 34239-7115
Phone number: 941-927-1234
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