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Organization

BAGLEY FAMILY CHIROPRACTIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RYAN DAVID BAGLEY D.C. (MEMBER)
(419) 542-8247
Entity
Organization

Contact information

Practice address
501 W HIGH ST, HICKSVILLE, OH 43526-1083
(419) 542-8247
(419) 542-6726
Mailing address
501 W HIGH ST, HICKSVILLE, OH 43526-1083
(419) 542-8247
(419) 542-6726

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3696
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2647890
OH
Enumeration date
06/18/2008
Last updated
07/25/2008
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