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1164863916
NATHAN BAGEANT
WILMINGTON, NC
NPI
1164863916
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NC 8753)
Enumeration Date
2013-07-09
Last Update Date
2013-07-09
Business Address
NATHAN BAGEANT
1011 PORTERS NECK RD
WILMINGTON, NC 28411-9196
Phone number: 910-686-7195
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Mailing Address
NATHAN BAGEANT
101 E STATE ST
KENNETT SQUARE, PA 19348-3109
Phone number:
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