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1447654413
LISA WAGNER
EASLEY, SC
NPI
1447654413
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2014-10-20
Last Update Date
2014-10-20
Business Address
-- LISA WAGNER DHS, OTR/L
1400 GRIFFIN MILL RD
EASLEY, SC 29640-6929
Phone number: 864-397-1059
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Mailing Address
-- LISA WAGNER DHS, OTR/L
1400 GRIFFIN MILL RD
EASLEY, SC 29640-6929
Phone number: 864-397-1059
Copy
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