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1366459885
CAROL A WAGNER
COOPER CITY, FL
NPI
1366459885
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: FL SA8075)
Enumeration Date
2006-08-01
Last Update Date
2007-07-08
Business Address
CAROL A WAGNER ST
5846 S FLAMINGO RD
COOPER CITY, FL 33330-3237
Phone number: 954-680-0488
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Mailing Address
CAROL A WAGNER ST
5846 S FLAMINGO RD
COOPER CITY, FL 33330-3237
Phone number:
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