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Individual

BELINDA BACON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
115 COMMANCHE TRL, PINEVILLE, LA 71360-4403
(318) 641-6767
Mailing address
115 COMMANCHE TRL, PINEVILLE, LA 71360-4403
(318) 641-6767

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP05135
LA

Other

Enumeration date
11/08/2012
Last updated
11/08/2012
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