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1538155411
DOUGLAS K BAGLEY
PROVO, UT
NPI
1538155411
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251H1200X Physical Therapist Hand
(Licence: UT 121795-2401)
Enumeration Date
2005-09-26
Last Update Date
2023-11-27
Business Address
DOUGLAS K BAGLEY PT
1055 N 500 W SUITE 207
PROVO, UT 84604-3305
Phone number: 801-375-4263
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Mailing Address
DOUGLAS K BAGLEY PT
1055 N 500 W CREDENTIALING DEPARTMENT
PROVO, UT 84604-3305
Phone number: 801-354-8225
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