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1518017797
SANDRA M WAGONER
CHARLOTTESVILLE, VA
NPI
1518017797
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XH1200X Occupational Therapist, Hand
(Licence: VA 0119000123)
Enumeration Date
2007-01-11
Last Update Date
2010-12-20
Business Address
-- SANDRA M WAGONER OT
410 ALBEMARLE SQ
CHARLOTTESVILLE, VA 22901-7400
Phone number: 434-817-4278
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Mailing Address
-- SANDRA M WAGONER OT
PO BOX 1583
CHARLOTTESVILLE, VA 22902-1583
Phone number: 434-654-7794
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