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1093955452
LARRY DOUGLAS BAGENT
HILLIARD, OH
NPI
1093955452
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172M00000X Mechanotherapist
(Licence: OH 16050)
Enumeration Date
2009-02-25
Last Update Date
2009-02-25
Business Address
LARRY DOUGLAS BAGENT LMT
5136 BONNER DR
HILLIARD, OH 43026-8933
Phone number: 614-313-3437
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Mailing Address
LARRY DOUGLAS BAGENT LMT
5136 BONNER DR
HILLIARD, OH 43026-8933
Phone number: 614-313-3437
Copy
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