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1295374973
JAHAYRA PANTELOGLOUS BACON
CULPEPER, VA
NPI
1295374973
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VA 0701008825)
Enumeration Date
2019-12-30
Last Update Date
2019-12-30
Business Address
JAHAYRA PANTELOGLOUS BACON
605 N MAIN ST
CULPEPER, VA 22701-2609
Phone number: 540-727-0770
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Mailing Address
JAHAYRA PANTELOGLOUS BACON
605 N MAIN ST
CULPEPER, VA 22701-2609
Phone number: 540-727-0770
Copy
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