IAN BACON

LUBBOCK, TX
NPI1215476890
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TX  2125070)
Enumeration Date2017-02-16
Last Update Date2017-02-16
Business Address
-- IAN BACON
4510 27TH ST
LUBBOCK, TX 79410-1709
Phone number: 806-795-4368
Mailing Address
-- IAN BACON
4510 27TH ST
LUBBOCK, TX 79410-1709
Phone number:
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