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1831718568
LUKE PORTER BACON
AURORA, CO
NPI
1831718568
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: CO DR.0070574)
Enumeration Date
2020-04-13
Last Update Date
2024-01-09
Business Address
Dr. LUKE PORTER BACON MD
3001 EAST 17TH PLACE
AURORA, CO 80045
Phone number: 303-724-6019
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Mailing Address
Dr. LUKE PORTER BACON MD
1081 COLUMBINE ST
DENVER, CO 80206-3104
Phone number:
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