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1225355670
JACK RYAN BAGLEY
GRAND JUNCTION, CO
NPI
1225355670
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2085R0001X Radiology, Radiation Oncology
(Licence: CO DR.0055700)
Enumeration Date
2010-04-26
Last Update Date
2015-11-24
Business Address
Dr. JACK RYAN BAGLEY M.D.
2596 F RD
GRAND JUNCTION, CO 81505-1443
Phone number: 970-254-3180
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Mailing Address
Dr. JACK RYAN BAGLEY M.D.
PO BOX 1687
GRAND JUNCTION, CO 81502-1687
Phone number: 970-256-6322
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