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1437483245
JANET WAGNER
JEFFERSONVILLE, NY
NPI
1437483245
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NY 006077-1)
Enumeration Date
2009-09-25
Last Update Date
2013-08-24
Business Address
Mrs. JANET WAGNER
16 OLD COUNTY RD 128
JEFFERSONVILLE, NY 12748
Phone number: 845-807-1132
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Mailing Address
Mrs. JANET WAGNER
PO BOX 412
JEFFERSONVILLE, NY 12748-0412
Phone number:
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