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1124005624
JOAN R BAGWELL
MINNETONKA, MN
NPI
1124005624
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Primary Taxonomy
363LW0102X Nurse Practitioner Women's Health
(Licence: MN R 120304-2)
Enumeration Date
2005-12-27
Last Update Date
2007-07-08
Business Address
MS. JOAN R BAGWELL WHC, NP
15111 TWELVE OAKS CENTER DR
MINNETONKA, MN 55305-5201
Phone number: 952-993-4500
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Mailing Address
MS. JOAN R BAGWELL WHC, NP
6465 WAYZATA BLVD STE 315
ST LOUIS PARK, MN 55426-1728
Phone number:
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