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1528254778
TAMARA D WAGNER
DENTON, TX
NPI
1528254778
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 104360)
Enumeration Date
2007-09-21
Last Update Date
2007-09-21
Business Address
-- TAMARA D WAGNER OTR
3716 LAKE COUNTRY DR
DENTON, TX 76210-3305
Phone number: 940-390-4000
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Mailing Address
-- TAMARA D WAGNER OTR
3716 LAKE COUNTRY DR
DENTON, TX 76210-3305
Phone number: 940-390-4000
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