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1366008419
KAL BACON
ANCHORAGE, AK
NPI
1366008419
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-05-14
Last Update Date
2019-05-14
Business Address
KAL BACON
4320 DIPLOMACY DR
ANCHORAGE, AK 99508-5925
Phone number: 907-729-8926
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Mailing Address
KAL BACON
7033 E TUDOR RD
ANCHORAGE, AK 99507-1262
Phone number:
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