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THOMAS MICHAEL BAGLIN D.C.

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1164533428

Individual Registrant:
 THOMAS MICHAEL BAGLIN D.C.
Gender: M
Sole Proprietor

Location and contact information for practice:
204 E BEACH ST  WATSONVILLE, CA 95076-4809 US
Tel: 831-728-0222  Fax: 831-707-2777

Contact information for business:
PO BOX 1870  WATSONVILLE, CA 95077-1870 US
Tel: 831-728-8266  Fax: 831-707-2777

Registration Information:
NPI: 1164533428
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
CA016252

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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