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1235193392
TANYA WAGERS TRACY
SAN DIEGO, CA
NPI
1235193392
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 29005)
Enumeration Date
2006-04-14
Last Update Date
2011-02-08
Business Address
Mrs. TANYA WAGERS TRACY M.P.T.
4765 CARMEL MOUNTAIN RD SUITE 202
SAN DIEGO, CA 92130-6657
Phone number: 858-847-0055
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Mailing Address
Mrs. TANYA WAGERS TRACY M.P.T.
3525 CAMEO DR UNIT 89
OCEANSIDE, CA 92056-6390
Phone number: 573-644-4260
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