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1255492955
KRISTY S BAGWELL
MINNETONKA, MN
NPI
1255492955
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN078685)
Enumeration Date
2006-12-13
Last Update Date
2020-09-22
Business Address
Ms. KRISTY S BAGWELL NP
9900 BREN RD E
MINNETONKA, MN 55343-9664
Phone number: 443-401-9487
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Mailing Address
Ms. KRISTY S BAGWELL NP
1005 MEADOWSONG CIR
LAWRENCEVILLE, GA 30043-4237
Phone number: 770-880-4046
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