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1710903893
CHARLES BAGWELL
YORBA LINDA, CA
NPI
1710903893
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT24597)
Enumeration Date
2006-07-14
Last Update Date
2013-01-29
Business Address
Mr. CHARLES BAGWELL D.P.T.
19768 YORBA LINDA BLVD
YORBA LINDA, CA 92886-2801
Phone number: 714-693-0460
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Mailing Address
Mr. CHARLES BAGWELL D.P.T.
19768 YORBA LINDA BLVD
YORBA LINDA, CA 92886-2801
Phone number: 714-693-0460
Copy
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