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1831371608
GAYLA BACON
UNIVERSITY PLACE, WA
NPI
1831371608
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2007-12-03
Last Update Date
2018-11-30
Business Address
GAYLA BACON
7610 40TH ST W STE 300
UNIVERSITY PLACE, WA 98466-3834
Phone number: 253-307-5713
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Mailing Address
GAYLA BACON
5410 N 44TH ST
TACOMA, WA 98407-3715
Phone number:
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