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1073057063
SOFIA BACON
OVERLAND PARK, KS
NPI
1073057063
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: KS 11-05528)
Enumeration Date
2016-12-09
Last Update Date
2016-12-09
Business Address
-- SOFIA BACON P.T.
10600 MASTIN ST
OVERLAND PARK, KS 66212-5723
Phone number: 913-681-0606
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Mailing Address
-- SOFIA BACON P.T.
PO BOX 741331
ATLANTA, GA 30374-1331
Phone number: 913-469-0503
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