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1285790725
BETTY WAGNER
FRESNO, CA
NPI
1285790725
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2006-12-29
Last Update Date
2007-07-08
Business Address
BETTY WAGNER
4411 N CEDAR AVE STE 108
FRESNO, CA 93726-2538
Phone number: 559-248-1548
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Mailing Address
BETTY WAGNER
PO BOX 308
FRIANT, CA 93626-0308
Phone number: 559-248-1548
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