CHARLES STEWART BACON

AUGUSTA, KS
NPI1417203233
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: KS  11-04429)
Enumeration Date2012-07-30
Last Update Date2012-07-30
Business Address
-- CHARLES STEWART BACON DPT
1503 WASHINGTON LN
AUGUSTA, KS 67010-1638
Phone number: 316-775-0700
Mailing Address
-- CHARLES STEWART BACON DPT
1503 WASHINGTON LN
AUGUSTA, KS 67010-1638
Phone number: 316-775-0700
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