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1295154698
DALTON BAGLEY
BEAVERTON, OR
NPI
1295154698
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 19467)
Enumeration Date
2014-04-14
Last Update Date
2014-04-14
Business Address
-- DALTON BAGLEY LMT
14619 SW TEAL BLVD
BEAVERTON, OR 97007-6194
Phone number: 503-746-6585
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Mailing Address
-- DALTON BAGLEY LMT
534 ILLINOIS AVE NE
SALEM, OR 97301-4632
Phone number: 503-991-2154
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