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1154994994
DONALD BAGWELL
MEDFORD, OR
NPI
1154994994
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-07-20
Last Update Date
2023-09-20
Business Address
DONALD BAGWELL
850 SWING LN UNIT 1
MEDFORD, OR 97501-1790
Phone number: 541-622-8593
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Mailing Address
DONALD BAGWELL
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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