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1417434564
EMMA CHRISTINE WAGNER
GAINESVILLE, FL
NPI
1417434564
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL AL5284)
Enumeration Date
2018-07-22
Last Update Date
2018-07-22
Business Address
EMMA CHRISTINE WAGNER ATC, LAT
4400 SW 20TH AVE APT 3203
GAINESVILLE, FL 32607-3902
Phone number: 215-262-5244
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Mailing Address
EMMA CHRISTINE WAGNER ATC, LAT
4400 SW 20TH AVE APT 3203
GAINESVILLE, FL 32607-3902
Phone number:
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