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1457332603
DONALD WILLIAM BAGNALL
NEW HAVEN, CT
NPI
1457332603
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2005-11-07
Last Update Date
2007-07-08
Business Address
Mr. DONALD WILLIAM BAGNALL ATC
986 FOREST RD
NEW HAVEN, CT 06515-2501
Phone number: 203-397-5749
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Mailing Address
Mr. DONALD WILLIAM BAGNALL ATC
9 STURBRIDGE LN
WOODBRIDGE, CT 06525-1512
Phone number: 203-389-5749
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