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1326323221
JOHN WAGNER
LAGUNA BEACH, CA
NPI
1326323221
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 38080)
Enumeration Date
2011-10-12
Last Update Date
2011-10-12
Business Address
-- JOHN WAGNER D.P.T.
3079 NESTALL RD
LAGUNA BEACH, CA 92651-2026
Phone number: 949-295-7133
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Mailing Address
-- JOHN WAGNER D.P.T.
3079 NESTALL RD
LAGUNA BEACH, CA 92651-2026
Phone number:
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