Individual
ABBIE LYNN BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 22ND ST, TOLEDO, OH 43604-2706
(419) 241-6191
Mailing address
123 22ND ST, TOLEDO, OH 43604-2706
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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