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1760729057
ERIN L BACON
PORTLAND, ME
NPI
1760729057
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Professional Name
N/A NA N/A
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: ME CNP151103)
Enumeration Date
2013-01-07
Last Update Date
2017-04-21
Business Address
Miss ERIN L BACON AGACNP
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number: 207-662-2179
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Mailing Address
Miss ERIN L BACON AGACNP
190 RIVERSIDE ST SUITE 6B
PORTLAND, ME 04103-1073
Phone number: 207-661-2000
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