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1912340662
CAROL BACON
NEWARK, NJ
NPI
1912340662
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: NJ 26NJ00272500)
Enumeration Date
2013-04-12
Last Update Date
2013-04-12
Business Address
-- CAROL BACON APN
201 LYONS AVE NEWARK BETH ISRAEL MEDICAL CENTER
NEWARK, NJ 07112-2027
Phone number: 973-926-7320
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Mailing Address
-- CAROL BACON APN
201 LYONS AVE NEWARK BETH ISRAEL MEDICAL CENTER
NEWARK, NJ 07112-2027
Phone number: 973-926-7320
Copy
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