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Jacob Bagley, SOIDC
NPI 1609556273 · on the registry since 2023
Practice
- Address
- Courthouse Rd
Building A66
Camp Lejeune, NC 28547 - Phone
- (910) 440-7925
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Independent Duty Corpsman
1710I1002X
- Sex
- Male
- Record last updated
- 2023-07-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina