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1629220447
KATHIE WAGNER
NORTH LITTLE ROCK, AR
NPI
1629220447
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2008-10-13
Last Update Date
2008-10-13
Business Address
-- KATHIE WAGNER
4901 NORTHSHORE DR
NORTH LITTLE ROCK, AR 72118-5293
Phone number: 501-791-3331
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Mailing Address
-- KATHIE WAGNER
4901 NORTHSHORE DR
NORTH LITTLE ROCK, AR 72118-5293
Phone number: 501-791-3331
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