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1811175839
VALERIE ANN WAGONER
PUYALLUP, WA
NPI
1811175839
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WA LL00004583)
Enumeration Date
2008-01-31
Last Update Date
2012-12-07
Business Address
-- VALERIE ANN WAGONER SLP
402 15TH AVE SE SUITE 100
PUYALLUP, WA 98372-3709
Phone number: 253-697-5200
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Mailing Address
-- VALERIE ANN WAGONER SLP
1515 SOUTH FRUITLAND
PUYALLUP, WA 98371
Phone number: 253-435-6576
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