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1508133752
REBECCA CORALYN BACON
CLEARFIELD, UT
NPI
1508133752
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: UT 78488768-6009)
Enumeration Date
2011-11-16
Last Update Date
2011-11-16
Business Address
MS. REBECCA CORALYN BACON APC
189 S STATE ST STE 160
CLEARFIELD, UT 84015-1061
Phone number: 801-773-2044
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Mailing Address
MS. REBECCA CORALYN BACON APC
189 S STATE ST STE 160
CLEARFIELD, UT 84015-1061
Phone number: 801-773-2044
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