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1245936434
JESSIE ELIZABETH BAGWELL
COLORADO SPRINGS, CO
NPI
1245936434
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CO OT.0004341)
Enumeration Date
2023-01-31
Last Update Date
2023-01-31
Business Address
JESSIE ELIZABETH BAGWELL
3090 N ACADEMY BLVD
COLORADO SPRINGS, CO 80917-5368
Phone number: 719-574-8300
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Mailing Address
JESSIE ELIZABETH BAGWELL
4350 STAR RANCH RD
COLORADO SPRINGS, CO 80906-7641
Phone number: 530-470-3016
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