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Michel Bacon

NPI 1205132586 · on the registry since 2011 · sole proprietor

Practice

Address
102 W 27th St
Cheyenne, WY 82001
Phone
(307) 529-0164

Registry record

Primary taxonomy
251C00000X
251C00000X
Sex
Male
Record last updated
2011-02-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming