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1285767350
HOLLY M WAGNER
ORANGE, CA
NPI
1285767350
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 25502)
Enumeration Date
2007-03-14
Last Update Date
2007-07-08
Business Address
-- HOLLY M WAGNER MPT
1178 N TUSTIN ST
ORANGE, CA 92867-6006
Phone number: 714-289-7790
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Mailing Address
-- HOLLY M WAGNER MPT
1178 N TUSTIN ST
ORANGE, CA 92867-6006
Phone number: 714-289-7790
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