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1295439552
CHRISTINE BACON
SAN JOSE, CA
NPI
1295439552
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: 3840)
Enumeration Date
2023-03-29
Last Update Date
2023-03-29
Business Address
CHRISTINE BACON SLP
540 COAKLEY DR
SAN JOSE, CA 95117-1522
Phone number: 408-921-6863
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Mailing Address
CHRISTINE BACON SLP
540 COAKLEY DR
SAN JOSE, CA 95117-1522
Phone number: 408-921-6863
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