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1780205906
CORINNE WAGNER
SALEM, OR
NPI
1780205906
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OR 016526)
Enumeration Date
2020-04-28
Last Update Date
2020-04-28
Business Address
CORINNE WAGNER MS, CCC-SLP
1475 CAPITOL ST NE
SALEM, OR 97301-7850
Phone number: 971-599-1712
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Mailing Address
CORINNE WAGNER MS, CCC-SLP
1475 CAPITOL ST NE
SALEM, OR 97301-7850
Phone number: 971-599-1712
Copy
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