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1164767752
NANCY WAGNER
PANTEGO, TX
NPI
1164767752
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: TX 1-07-3398)
Enumeration Date
2012-12-07
Last Update Date
2012-12-07
Business Address
Mrs. NANCY WAGNER BCBA
3605 W PIONEER PKWY SUITE C
PANTEGO, TX 76013-4598
Phone number: 817-277-8870
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Mailing Address
Mrs. NANCY WAGNER BCBA
PO BOX 14597
ARLINGTON, TX 76094-1597
Phone number: 817-277-8870
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