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Individual

JOHN CAGLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
819 S 13TH ST, CLINIC, MOUNT VERNON, WA 98274-4112
(360) 814-6230
(360) 814-6240
Mailing address
819 S 13TH ST, CLINIC, MOUNT VERNON, WA 98274-4112

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
05/02/2014
Last updated
05/02/2014
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