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1497288476
BRANDON BACON
KANSAS CITY, MO
NPI
1497288476
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: MO 2022030605)
Enumeration Date
2017-04-06
Last Update Date
2022-08-15
Business Address
BRANDON BACON MD
2301 HOLMES ST
KANSAS CITY, MO 64108-2640
Phone number: 816-404-1000
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Mailing Address
BRANDON BACON MD
2301 HOLMES ST
KANSAS CITY, MO 64108-2640
Phone number:
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