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Individual

DR. NICHOLAS ANDREW BAGNARO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
10020 S. MINGO RD, STE A, TULSA, OK 74133
(918) 991-5427
(425) 881-6220
Mailing address
7122 S. SHERIDAN RD, SUITE 2-174, TULSA, OK 74133
(918) 991-5427

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3666
OK
111N00000X
Chiropractor
CH00034255
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0178466
LABOR AND INDUSTRIES
WA
Enumeration date
03/20/2007
Last updated
12/21/2010
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