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1952482770
MICHAEL ALTON BAGAASON
SPRINGFIELD, OR
NPI
1952482770
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR 5634)
Enumeration Date
2006-10-18
Last Update Date
2007-07-08
Business Address
-- MICHAEL ALTON BAGAASON DMD
175 W B ST BLDG F
SPRINGFIELD, OR 97477-4575
Phone number: 541-746-8295
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Mailing Address
-- MICHAEL ALTON BAGAASON DMD
175 W B ST BLDG F
SPRINGFIELD, OR 97477-4575
Phone number: 541-746-8295
Copy
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