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1518194414
KATHLEEN BACON
CHEEKTOWAGA, NY
NPI
1518194414
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 083037)
Enumeration Date
2009-06-18
Last Update Date
2009-06-18
Business Address
KATHLEEN BACON LPN
1680 WALDEN AVE
CHEEKTOWAGA, NY 14225-4914
Phone number: 716-894-7777
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Mailing Address
KATHLEEN BACON LPN
S 5820 DIANA LN
LAKEVIEW, NY 14085
Phone number: 716-627-2821
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