MARK ANTHONY BAGASOL

PORTERVILLE, CA
NPI1144829821
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy146N00000X Emergency Medical Technician, Basic
(Licence: CA  B15-10170)
Enumeration Date2020-10-22
Last Update Date2020-10-22
Business Address
MARK ANTHONY BAGASOL
770 N PLANO ST
PORTERVILLE, CA 93257-6329
Phone number: 559-793-5519
Mailing Address
MARK ANTHONY BAGASOL
770 N PLANO ST
PORTERVILLE, CA 93257-6329
Phone number: 559-793-5519
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