Jacob Bagley, SOIDC
Jacob Bagley, SOIDC is an Independent Duty Corpsman in Camp Lejeune, North Carolina. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Partly verified
Courthouse Rd Bldg A66Camp Lejeune, NC 28547
Phone: (910) 440-7925
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|
Record details
| NPI number | 1609556273 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | SOIDC |
| Sole proprietor | No |
| NPI enumerated | July 19, 2023 |
| Last updated in NPPES | July 19, 2023 |
| Certification date | July 17, 2023 |
| Mailing address | 5185 Colorado Ave, Camp Lejeune, NC 28547-1126 |
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