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1720001746
STEPHANIE ANN WAGERS
EUGENE, OR
NPI
1720001746
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: OR 1023745)
Enumeration Date
2006-07-25
Last Update Date
2008-09-29
Business Address
-- STEPHANIE ANN WAGERS OTR/L
1661 HOLLY AVE
EUGENE, OR 97408-7173
Phone number: 503-224-1998
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Mailing Address
-- STEPHANIE ANN WAGERS OTR/L
5200 SW MADADAM AVE STE 100
PORTLAND, OR 97239
Phone number: 503-224-1998
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