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1528304334
RICHARD WAGNER
BELLAIRE, TX
NPI
1528304334
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 69088)
Enumeration Date
2012-12-26
Last Update Date
2012-12-26
Business Address
-- RICHARD WAGNER
5132 MIMOSA DRIVE
BELLAIRE, TX 77401
Phone number: 646-957-3581
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Mailing Address
-- RICHARD WAGNER
5132 MIMOSA DR
BELLAIRE, TX 77401-4941
Phone number:
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