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1770250284
CATHERINE BAGWELL
SAN DIEGO, CA
NPI
1770250284
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2021-08-24
Last Update Date
2022-01-20
Business Address
CATHERINE BAGWELL
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 775-835-7048
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Mailing Address
CATHERINE BAGWELL
344 19TH ST
SAN DIEGO, CA 92102-3806
Phone number: 775-835-7048
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