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1699080549
ELIZABETH ANNE WAGNER
COLUMBIA, SC
NPI
1699080549
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 6251)
Enumeration Date
2010-08-16
Last Update Date
2010-08-16
Business Address
Mrs. ELIZABETH ANNE WAGNER DPT
2362 TWO NOTCH RD
COLUMBIA, SC 29204-2257
Phone number: 803-799-7007
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Mailing Address
Mrs. ELIZABETH ANNE WAGNER DPT
2362 TWO NOTCH RD
COLUMBIA, SC 29204-2257
Phone number: 803-799-7007
Copy
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