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1336509991
LAURA DIETRICH-WAGER
SAN DIEGO, CA
NPI
1336509991
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CA 832)
Enumeration Date
2016-02-24
Last Update Date
2016-02-24
Business Address
-- LAURA DIETRICH-WAGER
1201 34TH ST
SAN DIEGO, CA 92102-2416
Phone number: 619-232-2946
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Mailing Address
-- LAURA DIETRICH-WAGER
4905 CHAUCER AVE
SAN DIEGO, CA 92120-1106
Phone number: 619-861-4085
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