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Individual

MARILYN ALEJANDRA VEGA-WAGNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1998 YOSEMITE AVE, ESCALON, CA 95320-1845
(209) 838-7031
Mailing address
989 LYNN CT, RIPON, CA 95366-3364
(916) 690-3086

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
CA

Other

Enumeration date
08/18/2025
Last updated
08/18/2025
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