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1952877094
LUKE WAGNER
ALAMEDA, CA
NPI
1952877094
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-10-16
Last Update Date
2020-12-08
Business Address
LUKE WAGNER
1025 ATLANTIC AVE STE 101
ALAMEDA, CA 94501-1188
Phone number: 510-268-8120
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Mailing Address
LUKE WAGNER
7205 RAINBOW DR APT E16
SAN JOSE, CA 95129-4502
Phone number: 408-707-4442
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