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1285270512
ELIZABETH CLAIR WAGNER
LAKEWOOD, WA
NPI
1285270512
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-11-21
Last Update Date
2019-11-21
Business Address
ELIZABETH CLAIR WAGNER
8815 S TACOMA WAY STE 122
LAKEWOOD, WA 98499-7011
Phone number: 206-388-0544
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Mailing Address
ELIZABETH CLAIR WAGNER
8915 WILKENSEN RD SE TRLR 7B
YELM, WA 98597-9782
Phone number: 505-419-7118
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