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1245399930
MARY MARGARITA BACON
PEMBROKE, NH
NPI
1245399930
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NH 038972-23-03)
Enumeration Date
2006-12-08
Last Update Date
2007-10-30
Business Address
Mrs. MARY MARGARITA BACON ARNP
48 GLASS ST
PEMBROKE, NH 03275-1506
Phone number: 603-485-7788
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Mailing Address
Mrs. MARY MARGARITA BACON ARNP
62 ISLAND DR
MERRIMACK, NH 03054-4123
Phone number: 603-206-4390
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