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1427823830
ANASTASIA WAGNER
GRAPEVINE, TX
NPI
1427823830
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1386070)
Enumeration Date
2023-11-16
Last Update Date
2023-11-16
Business Address
ANASTASIA WAGNER PT, DPT
2805 E GRAPEVINE MILLS CIR
GRAPEVINE, TX 76051-1210
Phone number: 682-477-8040
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Mailing Address
ANASTASIA WAGNER PT, DPT
1501 NORTHSTAR RD APT 8302
DENTON, TX 76208-1634
Phone number:
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