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1558461749
KRISTINE T. WAGNER, PH.D, INC.
TEMECULA, CA
NPI
1558461749
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Entity Type
Organization
Authorized Contact
KRISTINE WAGNER
Owner
951-695-7400
Organization Subpart ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY18320)
Enumeration Date
2006-09-25
Last Update Date
2020-08-22
Business Address
KRISTINE T. WAGNER, PH.D, INC.
27393 YNEZ RD SUITE 153
TEMECULA, CA 92591-5604
Phone number: 951-695-7400
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Mailing Address
KRISTINE T. WAGNER, PH.D, INC.
PO BOX 892143
TEMECULA, CA 92589-2143
Phone number:
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