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1528770336
BRENDA LEE BACON
YOUNGSTOWN, OH
NPI
1528770336
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WA 60214159)
Enumeration Date
2022-12-23
Last Update Date
2022-12-23
Business Address
BRENDA LEE BACON LPN
1815 BELMONT AVE
YOUNGSTOWN, OH 44504-1106
Phone number: 330-740-9200
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Mailing Address
BRENDA LEE BACON LPN
1815 BELMONT AVE
YOUNGSTOWN, OH 44504-1106
Phone number: 330-740-9299
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