LISA A WAGNER

EUGENE, OR
NPI1679817225
Former NameLISA A BOURGEOIS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: OR  17560)
Enumeration Date2012-11-20
Last Update Date2024-04-15
Business Address
LISA A WAGNER SLP
1500 W 12TH AVE
EUGENE, OR 97402-3705
Phone number: 541-346-2578
Mailing Address
LISA A WAGNER SLP
1500 W 12TH AVE
EUGENE, OR 97402-3705
Phone number: 541-346-2578
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