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1790173573
JAMES BACON
VIROQUA, WI
NPI
1790173573
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
282NR1301X General Acute Care Hospital, Rural
(Licence: WI 487624)
Enumeration Date
2015-01-02
Last Update Date
2015-01-02
Business Address
-- JAMES BACON
507 S MAIN ST
VIROQUA, WI 54665-2059
Phone number: 608-637-4385
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Mailing Address
-- JAMES BACON
507 S MAIN ST
VIROQUA, WI 54665-2059
Phone number: 608-637-4385
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