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1447686233
JENNIFER ANITA BACON
LIMA, OH
NPI
1447686233
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OH 3022)
Enumeration Date
2013-09-24
Last Update Date
2013-09-24
Business Address
Ms. JENNIFER ANITA BACON PTA
804 S MUMAUGH RD
LIMA, OH 45804-3569
Phone number: 419-225-9040
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Mailing Address
Ms. JENNIFER ANITA BACON PTA
680 APPLE BLOSSOM LN
ARLINGTON, OH 45814-9669
Phone number: 419-365-0312
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