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1174917561
KRISTEN CANFIELD BACON
ELMIRA, NY
NPI
1174917561
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 015180-1)
Enumeration Date
2015-03-24
Last Update Date
2015-03-24
Business Address
Dr. KRISTEN CANFIELD BACON OTD, MS, OTR/L
600 ROE AVE
ELMIRA, NY 14901
Phone number: 607-737-4100
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Mailing Address
Dr. KRISTEN CANFIELD BACON OTD, MS, OTR/L
3494 COUNTY ROAD 28
WATKINS GLEN, NY 14891-9748
Phone number:
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