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1053862847
AMANDA MARY BACON
SCHENECTADY, NY
NPI
1053862847
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 327227)
Enumeration Date
2016-10-17
Last Update Date
2016-10-17
Business Address
AMANDA MARY BACON LPN
304 GLENGARY RD
SCHENECTADY, NY 12304-4772
Phone number: 518-577-5698
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Mailing Address
AMANDA MARY BACON LPN
304 GLENGARY RD
SCHENECTADY, NY 12304-4772
Phone number: 518-577-5698
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