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1871968560
SARA WAGNON
LAFAYETTE, CO
NPI
1871968560
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CO 0013728)
Enumeration Date
2015-12-07
Last Update Date
2015-12-07
Business Address
-- SARA WAGNON
215 W CORNWALL CT
LAFAYETTE, CO 80026-1161
Phone number: 970-903-8876
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Mailing Address
-- SARA WAGNON
215 W CORNWALL CT
LAFAYETTE, CO 80026-1161
Phone number:
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