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1003147810
COREY EUGENE BACON
ALPENA, MI
NPI
1003147810
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: NCCAOM113675)
Enumeration Date
2010-01-18
Last Update Date
2015-02-02
Business Address
COREY EUGENE BACON
200 E CHISHOLM ST SUITE C
ALPENA, MI 49707-5800
Phone number: 989-916-7243
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Mailing Address
COREY EUGENE BACON
637 W WASHINGTON AVE
ALPENA, MI 49707-2775
Phone number: 989-916-7243
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