Individual
MS. SALLY ANN BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
3599 BIG RIDGE RD, SPENCERPORT, NY 14559-1709
(585) 352-2440
Mailing address
3599 BIG RIDGE RD., SPENCERPORT, NY 14559
(585) 352-2440
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
02/27/2006
Last updated
10/15/2011
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