JEFFREY LANCE BACON

STERLING, CO
NPI1255391132
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CO  38444)
Enumeration Date2006-03-24
Last Update Date2008-03-18
Business Address
-- JEFFREY LANCE BACON D.O.
615 FAIRHURST ST
STERLING, CO 80751-4564
Phone number: 970-521-3223
Mailing Address
-- JEFFREY LANCE BACON D.O.
1010 N COUNTRY CLUB DR
MESA, AZ 85201-3309
Phone number: 480-461-2409
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