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1144998907
JESSICA GRACE WAGNER
SAN DIEGO, CA
NPI
1144998907
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2021-09-05
Last Update Date
2021-09-05
Business Address
JESSICA GRACE WAGNER PT, DPT
5333 MISSION CENTER RD STE 100
SAN DIEGO, CA 92108-1347
Phone number: 619-295-3355
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Mailing Address
JESSICA GRACE WAGNER PT, DPT
3983 IOWA ST APT 4
SAN DIEGO, CA 92104-3055
Phone number: 858-776-7036
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