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Individual

CYNTHIA BACON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
120 S VINE ST, COLUMBIANA, OH 44408
(330) 482-3816
Mailing address
120 S VINE ST, COLUMBIANA, OH 44408

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03-1-22254
OH

Other

Enumeration date
02/28/2007
Last updated
01/02/2008
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