LAURA LEE BACON

SANTA FE, NM
NPI1316162894
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2251X0800X Physical Therapist, Orthopedic
(Licence: NM  1906)
Enumeration Date2007-04-17
Last Update Date2007-07-08
Business Address
-- LAURA LEE BACON P.T.
1751 OLD PECOS TRAIL SUITE M
SANTA FE, NM 87505
Phone number: 505-989-7490
Mailing Address
-- LAURA LEE BACON P.T.
2105 PASEO DEL MONTE
SANTA FE, NM 87501-6320
Phone number: 505-982-7783
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