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1609088830
MICHAEL JAMES BAGLEY
HONOLULU, HI
NPI
1609088830
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2007-05-03
Last Update Date
2007-07-08
Business Address
-- MICHAEL JAMES BAGLEY IDC
4922 KAMEHAMEHA LOOP
HONOLULU, HI 96818-5033
Phone number: 808-218-3650
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Mailing Address
-- MICHAEL JAMES BAGLEY IDC
4922 KAMEHAMEHA LOOP
HONOLULU, HI 96818-5033
Phone number: 808-218-3650
Copy
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