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1154519312
JOHN BAGLEY
LINCOLN, NE
NPI
1154519312
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NE 794)
Enumeration Date
2007-10-11
Last Update Date
2007-10-11
Business Address
Mr. JOHN BAGLEY P.A.-C
4201 S 14TH ST
LINCOLN, NE 68502-5336
Phone number: 402-479-3292
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Mailing Address
Mr. JOHN BAGLEY P.A.-C
4201 S 14TH ST
LINCOLN, NE 68502-5336
Phone number: 402-479-3292
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