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1669966065
SHELLEY MAE BACON
AMHERST, NY
NPI
1669966065
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 342993)
Enumeration Date
2018-06-19
Last Update Date
2018-06-19
Business Address
SHELLEY MAE BACON NP
4979 HARLEM RD
AMHERST, NY 14226-2547
Phone number: 716-923-4380
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Mailing Address
SHELLEY MAE BACON NP
4979 HARLEM RD
AMHERST, NY 14226-2547
Phone number: 716-923-4380
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