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1578798914
JEFFREY MARK WAGNER
CHICO, CA
NPI
1578798914
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT17374)
Enumeration Date
2009-05-28
Last Update Date
2009-05-28
Business Address
-- JEFFREY MARK WAGNER P.T., C.H.T.
1430 ESPLANADE SUITE 8
CHICO, CA 95926-3366
Phone number: 530-894-0221
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Mailing Address
-- JEFFREY MARK WAGNER P.T., C.H.T.
1430 ESPLANADE SUITE 8
CHICO, CA 95926-3366
Phone number: 530-894-0221
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