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1386830735
MICHELE D WAGNER
SAN DIEGO, CA
NPI
1386830735
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-09-19
Last Update Date
2007-09-19
Business Address
-- MICHELE D WAGNER
892 27TH ST
SAN DIEGO, CA 92154-1444
Phone number: 619-575-4687
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Mailing Address
-- MICHELE D WAGNER
892 27TH ST
SAN DIEGO, CA 92154-1444
Phone number: 619-575-4687
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