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1821063702
ELIZABETH H. WAGNER
EL PASO, TX
NPI
1821063702
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT0963)
Enumeration Date
2006-02-22
Last Update Date
2007-07-08
Business Address
-- ELIZABETH H. WAGNER MS, ATC,LAT
100 CHAMPIONS PL
EL PASO, TX 79912-3725
Phone number: 915-834-2465
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Mailing Address
-- ELIZABETH H. WAGNER MS, ATC,LAT
100 CHAMPIONS PL
EL PASO, TX 79912
Phone number: 915-834-2465
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