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1669976528
KRISTI B BAGNELL
LONGVIEW, TX
NPI
1669976528
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Entity Type
Organization
Authorized Contact
MICHAEL BAGNELL
Manager
305-587-9062
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
Enumeration Date
2018-03-23
Last Update Date
2018-03-23
Business Address
KRISTI B BAGNELL
2304 JUDSON RD STE D
LONGVIEW, TX 75605-4675
Phone number: 903-212-6060
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Mailing Address
KRISTI B BAGNELL
2304 JUDSON RD STE D
LONGVIEW, TX 75605-4675
Phone number: 903-212-6060
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