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MR. EDWIN DELIGFN BAGTO RN

>> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1790189330

Individual Registrant:
MR. EDWIN DELIGFN BAGTO RN
Gender: M
Not Sole Proprietor

Location and contact information for practice:
167 NORTH MAIN STREET  TUBA CITY, AZ 86045-0600 US
Tel: 928-283-2501  Fax: 928-283-2677

Contact information for business:
PO BOX 600 PFS BUSINESS OFFICE TUBA CITY, AZ 86045-0600 US
Tel: 928-283-2781  Fax: 928-283-2677

Registration Information:
NPI: 1790189330
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163W00000XNursing Service Providers
Registered Nurse
FLRN9370561

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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