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1669945861
JAN T BAGWELL DDS
MONROE, LA
NPI
1669945861
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Entity Type
Organization
Authorized Contact
JAN T BAGWELL
Owner
318-665-4423
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2019-01-10
Last Update Date
2019-01-10
Business Address
JAN T BAGWELL DDS
189 KEYSTONE RD
MONROE, LA 71203-8936
Phone number: 318-665-4423
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Mailing Address
JAN T BAGWELL DDS
189 KEYSTONE RD
MONROE, LA 71203-8936
Phone number:
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