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1508460999
VICTORIA LYNN WAGNER
SANTA MONICA, CA
NPI
1508460999
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 706646)
Enumeration Date
2020-11-25
Last Update Date
2020-11-25
Business Address
VICTORIA LYNN WAGNER LVN
1869 9TH STREET
SANTA MONICA, CA 90404
Phone number: 310-314-6200
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Mailing Address
VICTORIA LYNN WAGNER LVN
2644 30TH ST STE 100
SANTA MONICA, CA 90405-3051
Phone number: 310-314-6200
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