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1285027011
CHRISTINE WAGNER
PITTSBURGH, PA
NPI
1285027011
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QM2800X Clinic/Center, Methadone Clinic
(Licence: PA 261QM2800X)
Enumeration Date
2015-03-18
Last Update Date
2015-03-18
Business Address
-- CHRISTINE WAGNER BA
6714 KELLY ST
PITTSBURGH, PA 15208-1717
Phone number: 412-864-5323
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Mailing Address
-- CHRISTINE WAGNER BA
6714 KELLY ST
PITTSBURGH, PA 15208-1717
Phone number: 412-864-5323
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