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1053309146
BARRY J BACON
COLVILLE, WA
NPI
1053309146
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA MD00027502)
Enumeration Date
2005-10-12
Last Update Date
2007-07-08
Business Address
Dr. BARRY J BACON MD
1200 E COLUMBIA AVE
COLVILLE, WA 99114-3354
Phone number: 509-684-3701
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Mailing Address
Dr. BARRY J BACON MD
1200 E COLUMBIA AVE
COLVILLE, WA 99114-3354
Phone number: 509-684-3701
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