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1306006978
KEVIN WAGNER
LOS ANGELES, CA
NPI
1306006978
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 33753)
Enumeration Date
2008-06-16
Last Update Date
2008-06-23
Business Address
-- KEVIN WAGNER MSPT
3283 MOTOR AVE
LOS ANGELES, CA 90034-3709
Phone number: 310-845-9690
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Mailing Address
-- KEVIN WAGNER MSPT
4872 MCCONNELL AVE
LOS ANGELES, CA 90066-6712
Phone number:
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