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1366293037
JANA VANWAGONER
OCEANSIDE, CA
NPI
1366293037
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT305797)
Enumeration Date
2024-03-29
Last Update Date
2024-03-29
Business Address
JANA VANWAGONER
713 MISSION AVE STE B
OCEANSIDE, CA 92054-2852
Phone number: 760-453-7072
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Mailing Address
JANA VANWAGONER
713 MISSION AVE STE B
OCEANSIDE, CA 92054-2852
Phone number: 760-453-7072
Copy
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