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1922591361
STEPHANIE WAGNER
LANCASTER, CA
NPI
1922591361
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2018-06-11
Last Update Date
2018-06-11
Business Address
STEPHANIE WAGNER
43520 DIVISION ST
LANCASTER, CA 93535-4089
Phone number: 661-266-4783
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Mailing Address
STEPHANIE WAGNER
43520 DIVISION ST
LANCASTER, CA 93535-4089
Phone number: 661-266-4783
Copy
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