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1093388605
ALEX BACON
KNOXVILLE, TN
NPI
1093388605
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TN 29956)
Enumeration Date
2021-07-21
Last Update Date
2022-03-30
Business Address
ALEX BACON APRN
550 FORT SUMMIT WAY
KNOXVILLE, TN 37915-2146
Phone number: 865-374-0555
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Mailing Address
ALEX BACON APRN
550 FORT SUMMIT WAY
KNOXVILLE, TN 37915-2146
Phone number: 865-374-0555
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