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1265576433
BRIAN WAGNER
SAN JOSE, CA
NPI
1265576433
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC44887)
Enumeration Date
2007-02-19
Last Update Date
2021-06-15
Business Address
BRIAN WAGNER L.M.F.T.
828 S BASCOM AVE STE 200
SAN JOSE, CA 95128-2600
Phone number: 408-885-5773
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Mailing Address
BRIAN WAGNER L.M.F.T.
1885 LUNDY AVE SUITE 223
SAN JOSE, CA 95131-1887
Phone number: 408-284-9008
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