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1396980835
KIMBERLI WAGNER
PORT HURON, MI
NPI
1396980835
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MI 7101000426)
Enumeration Date
2008-12-12
Last Update Date
2018-12-11
Business Address
KIMBERLI WAGNER SLP
1411 3RD ST STE C
PORT HURON, MI 48060-5480
Phone number: 810-350-9149
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Mailing Address
KIMBERLI WAGNER SLP
2057 EDWARD LN E
KIMBALL, MI 48074-1925
Phone number: 810-531-2931
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