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1013216373
KEITH THOMAS BANGART
PEORIA, AZ
NPI
1013216373
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: AZ 0724)
Enumeration Date
2011-03-24
Last Update Date
2023-03-07
Business Address
-- KEITH THOMAS BANGART DPM
13660 N 94TH DR #F1
PEORIA, AZ 85381-4836
Phone number: 623-974-0522
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Mailing Address
-- KEITH THOMAS BANGART DPM
13660 N 94TH DR #F1
PEORIA, AZ 85381-4836
Phone number: 623-974-0522
Copy
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