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1508380742
ABIGAIL BACON ROOT
ERIE, PA
NPI
1508380742
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Former Name
ABIGAIL FRITZ BACON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA MA059181)
Enumeration Date
2017-07-31
Last Update Date
2020-02-05
Business Address
ABIGAIL BACON ROOT PA-C
201 STATE ST
ERIE, PA 16550-0002
Phone number: 814-877-6139
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Mailing Address
ABIGAIL BACON ROOT PA-C
201 STATE ST
ERIE, PA 16550-0002
Phone number: 814-877-6139
Copy
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