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1871869180
KAITLIN WAGNER
FEDERAL WAY, WA
NPI
1871869180
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT60320481)
Enumeration Date
2012-03-30
Last Update Date
2014-07-29
Business Address
-- KAITLIN WAGNER DPT
33650 6TH AVE S STE 100
FEDERAL WAY, WA 98003-6754
Phone number: 253-942-3308
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Mailing Address
-- KAITLIN WAGNER DPT
7438 CORLISS AVE N
SEATTLE, WA 98103-4933
Phone number: 612-816-2716
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