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1780156380
GAIL BACON
LA PLATA, MD
NPI
1780156380
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2018-12-20
Last Update Date
2018-12-20
Business Address
GAIL BACON OTR/L
5980 RADIO STATION RD
LA PLATA, MD 20646-3337
Phone number: 301-751-2151
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Mailing Address
GAIL BACON OTR/L
7300 DENISE LN
HUGHESVILLE, MD 20637-2335
Phone number: 301-751-2151
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