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1326022617
CHERYL D. BACON
METAIRIE, LA
NPI
1326022617
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: LA AP03130)
Enumeration Date
2005-12-01
Last Update Date
2010-12-14
Business Address
-- CHERYL D. BACON CRNA
310 N. CAUSEWAY SUITE 404
METAIRIE, LA 70002
Phone number: 504-779-5515
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Mailing Address
-- CHERYL D. BACON CRNA
257 BROCKENBRAUGH CT.
METAIRIE, LA 70005
Phone number: 504-289-1594
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