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1578276671
HENRY CHARLES HAGOOD
MISSOULA, MT
NPI
1578276671
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MT PTP-PT-LIC-24309)
Enumeration Date
2023-01-04
Last Update Date
2023-01-04
Business Address
HENRY CHARLES HAGOOD DPT
1301 E BROADWAY ST
MISSOULA, MT 59802-4905
Phone number: 406-721-0680
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Mailing Address
HENRY CHARLES HAGOOD DPT
3315 WASHBURN ST
MISSOULA, MT 59801-8432
Phone number: 509-362-2838
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