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Individual

MRS. EVE BAGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
7619 E ROCKMONT RD, S/A, POPLAR, WI 54864
(715) 399-8054
(715) 399-8054
Mailing address
7619 E ROCKMONT RD, POPLAR, WI 54864
(715) 399-8054
(715) 399-8054

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R1341810
MN

Other

Enumeration date
12/31/2007
Last updated
01/29/2013
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