ANDREA RENEE BAGNALL

THATCHER, AZ
NPI1649625310
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AZ  0248)
Enumeration Date2016-04-29
Last Update Date2016-04-29
Business Address
-- ANDREA RENEE BAGNALL ATC
2934 W PALO VERDE ST
THATCHER, AZ 85552
Phone number: 928-651-4245
Mailing Address
-- ANDREA RENEE BAGNALL ATC
2934 W PALO VERDE ST
THATCHER, AZ 85552-5336
Phone number: 928-651-4245
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