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1801140132
COLLEEN WAGNER
DOWNINGTOWN, PA
NPI
1801140132
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: PA SL005680L)
Enumeration Date
2012-11-08
Last Update Date
2012-11-08
Business Address
-- COLLEEN WAGNER
455 BOOT RD
DOWNINGTOWN, PA 19335-3043
Phone number: 484-883-2218
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Mailing Address
-- COLLEEN WAGNER
455 BOOT RD
DOWNINGTOWN, PA 19335-3043
Phone number: 484-883-2218
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