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1235737966
ALICIA WAGNER
GLENDALE, CA
NPI
1235737966
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: CA 298900)
Enumeration Date
2020-10-14
Last Update Date
2021-12-06
Business Address
ALICIA WAGNER DPT
1000 N CENTRAL AVE STE 110
GLENDALE, CA 91202-3685
Phone number: 818-243-8422
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Mailing Address
ALICIA WAGNER DPT
1616 HANGING ROCK AVE
MONTEBELLO, CA 90640-2124
Phone number: 323-683-7042
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