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1780376301
SARA ELIDA WAGNER
SAN ANTONIO, TX
NPI
1780376301
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 113647)
Enumeration Date
2023-05-23
Last Update Date
2023-05-23
Business Address
SARA ELIDA WAGNER CCC-SLP
8961 TESORO DR
SAN ANTONIO, TX 78217-6209
Phone number: 210-407-0000
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Mailing Address
SARA ELIDA WAGNER CCC-SLP
14811 ADIOS
SAN ANTONIO, TX 78248-0977
Phone number: 210-240-4469
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