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1659704419
DANIEL DAVIS BACON
CARSON CITY, NV
NPI
1659704419
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2013-08-15
Last Update Date
2013-08-15
Business Address
-- DANIEL DAVIS BACON
701 S CARSON ST STE 200
CARSON CITY, NV 89701-5239
Phone number: 775-461-0551
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Mailing Address
-- DANIEL DAVIS BACON
701 S CARSON ST STE 200
CARSON CITY, NV 89701-5239
Phone number: 775-461-0551
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