MARISSA ROSE BACON

OSWEGO, NY
NPI1740788306
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: NY  2535489)
Enumeration Date2018-01-30
Last Update Date2018-01-30
Business Address
Ms. MARISSA ROSE BACON
159 W 1ST ST
OSWEGO, NY 13126-2045
Phone number: 315-342-9575
Mailing Address
Ms. MARISSA ROSE BACON
116 MAIN ST
HERMON, NY 13652-3174
Phone number: 315-528-9007
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