JERRY NICKIE BACON

SANTA BARBARA, CA
NPI1477609121
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2007-01-26
Last Update Date2007-07-08
Business Address
Mr. JERRY NICKIE BACON
4444 CALLE REAL CALLE REAL CLINIC
SANTA BARBARA, CA 93110-1002
Phone number: 805-681-5318
Mailing Address
Mr. JERRY NICKIE BACON
4444 CALLE REAL CALLE REAL CLINIC
SANTA BARBARA, CA 93110-1002
Phone number: 805-681-5318
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