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Individual
SHEILA D WAGNER
Active
Individual
SHEILA D WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND, PT, CNS
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
CN00885
CA
172P00000X
Naprapath
Primary
ND1013
CA
2251X0800X
Orthopedic Physical Therapist
PT10092
CA
Other
Enumeration date
05/24/2010
Last updated
10/29/2018
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