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Individual
MRS. TANYA WAGERS TRACY
Active
Individual
MRS. TANYA WAGERS TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
29005
CA
Other
Enumeration date
04/14/2006
Last updated
02/08/2011
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