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1518290360
JILL KAREN WAGNER
FALLS CHURCH, VA
NPI
1518290360
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: VA 0105005106)
Enumeration Date
2009-09-11
Last Update Date
2009-09-11
Business Address
Mrs. JILL KAREN WAGNER PT
450 W BROAD ST SUITE 214-A
FALLS CHURCH, VA 22046-3340
Phone number: 703-606-6213
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Mailing Address
Mrs. JILL KAREN WAGNER PT
450 W BROAD ST SUITE 214-A
FALLS CHURCH, VA 22046-3340
Phone number: 703-606-6213
Copy
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