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1609556273
JACOB BAGLEY
CAMP LEJEUNE, NC
NPI
1609556273
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2023-07-19
Last Update Date
2023-07-19
Business Address
JACOB BAGLEY SOIDC
COURTHOUSE RD BUILDING A66
CAMP LEJEUNE, NC 28547
Phone number: 910-440-7925
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Mailing Address
JACOB BAGLEY SOIDC
5185 COLORADO AVE
CAMP LEJEUNE, NC 28547-1126
Phone number: 412-780-8250
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