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1902866486
ELIAS JOHN BAGALE
PUEBLO, CO
NPI
1902866486
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CO 18741)
Enumeration Date
2006-03-27
Last Update Date
2007-07-08
Business Address
Mr. ELIAS JOHN BAGALE MD
2001 LAKE AVENUE
PUEBLO, CO 81004
Phone number: 719-564-0080
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Mailing Address
Mr. ELIAS JOHN BAGALE MD
2001 LAKE AVENUE
PUEBLO, CO 81004
Phone number: 719-564-0080
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