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Individual

GLADYS BAUZON BAKKEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH, CIP

Contact information

Practice address
1430 BALTIMORE ST, HANOVER, PA 17331-8529
(717) 632-8833
Mailing address
11 SYCAMORE CT, LITTLESTOWN, PA 17340-9239
(717) 337-1467

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
18126
MD
183500000X
Pharmacist
Primary
RP441652
PA

Other

Enumeration date
08/18/2010
Last updated
08/17/2016
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