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1366506362
ANNETTE L. BACON
DALLAS, TX
NPI
1366506362
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: TX 530649)
Enumeration Date
2006-12-21
Last Update Date
2009-02-19
Business Address
-- ANNETTE L. BACON WHCNP
5201 HARRY HINES BLVD MEDICAL STAFF SERVICES
DALLAS, TX 75235-7708
Phone number: 214-590-8006
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Mailing Address
-- ANNETTE L. BACON WHCNP
PO BOX 660599
DALLAS, TX 75266-0599
Phone number:
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