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1295938074
KIMBERLY EILEEN WAGNER
SAN DIEGO, CA
NPI
1295938074
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2007-06-07
Last Update Date
2009-08-17
Business Address
MISS KIMBERLY EILEEN WAGNER M.A.
2870 4TH AVE SUITE 101
SAN DIEGO, CA 92103-6298
Phone number: 858-997-3457
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Mailing Address
MISS KIMBERLY EILEEN WAGNER M.A.
2870 4TH AVE SUITE 101
SAN DIEGO, CA 92103-6298
Phone number: 858-997-3457
Copy
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