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1174503817
SUSAN WAGNER
EAU CLAIRE, WI
NPI
1174503817
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 1798)
Enumeration Date
2006-01-19
Last Update Date
2009-05-04
Business Address
-- SUSAN WAGNER PT
1400 BELLINGER ST
EAU CLAIRE, WI 54703-5222
Phone number: 715-838-5222
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Mailing Address
-- SUSAN WAGNER PT
PO BOX 1510
EAU CLAIRE, WI 54702-1510
Phone number: 715-838-5222
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