Individual
GAYLE S BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2 KEEWAYDIN DR, SALEM, NH 03079-2839
(800) 995-2673
(866) 420-1055
Mailing address
2 KEEWAYDIN DR, SALEM, NH 03079-2839
(800) 995-2673
(866) 420-1055
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
000000000104768
WI
Other
Enumeration date
01/24/2013
Last updated
01/24/2013
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