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1649771445
SHINNAYHA NICOLE WAGNER
PHOENIX, AZ
NPI
1649771445
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AZ 7346)
Enumeration Date
2018-02-27
Last Update Date
2018-06-16
Business Address
SHINNAYHA NICOLE WAGNER
13220 S 48TH ST APT 1112
PHOENIX, AZ 85044-5013
Phone number: 928-551-1020
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Mailing Address
SHINNAYHA NICOLE WAGNER
13220 S 48TH ST APT 1112
PHOENIX, AZ 85044-5013
Phone number: 928-551-1020
Copy
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