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1518273358
JANE PAULA WAGNER
IRVING, TX
NPI
1518273358
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2251P0200X Physical Therapist Pediatrics
(Licence: TX 1025898)
Enumeration Date
2010-08-30
Last Update Date
2010-08-30
Business Address
JANE PAULA WAGNER MSPT, PCS
304 PECOS TRL
IRVING, TX 75063-4541
Phone number: 214-405-2394
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Mailing Address
JANE PAULA WAGNER MSPT, PCS
304 PECOS TRL
IRVING, TX 75063-4541
Phone number: 214-405-2394
Copy
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