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1730181942
WILLIAM T BACON
SANTA FE, NM
NPI
1730181942
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NM 2001-PA36)
Enumeration Date
2005-06-01
Last Update Date
2022-09-01
Business Address
WILLIAM T BACON PA-C
1650 HOSPITAL DR STE 800
SANTA FE, NM 87505-4789
Phone number: 505-395-3000
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Mailing Address
WILLIAM T BACON PA-C
1650 HOSPITAL DR STE 800
SANTA FE, NM 87505-4789
Phone number: 505-395-3000
Copy
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