MICHEL LARS BACON

CHEYENNE, WY
NPI1205132586
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251C00000X Day Training, Developmentally Disabled Services
Enumeration Date2011-02-02
Last Update Date2011-02-02
Business Address
Mr. MICHEL LARS BACON
102 W 27TH ST
CHEYENNE, WY 82001-3041
Phone number: 307-529-0164
Mailing Address
Mr. MICHEL LARS BACON
102 W 27TH ST
CHEYENNE, WY 82001-3041
Phone number: 307-529-0164
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