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Ms. Marissa Rose Bacon
Specialist in Oswego, New York
NPI 1740788306

Marissa Rose Bacon is a Specialist based in Hermon, NY. Marissa Rose Bacon practices in Oswego, NY. The NPI Number for Marissa Rose Bacon is 1740788306 and holds a License No. 2535489 (New York).

The current practice location address for Marissa Rose Bacon is 159 W 1St St, Oswego, NY and can be reached out via phone at 315-342-9575.

Location: 159 W 1St St, Oswego, NY, 13652-3174
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740788306
Provider Name
Marissa Rose Bacon
Credential
Provider Entity Type
Individual
Gender
Female
Address
159 W 1St St, Oswego, NY, 13652-3174
Phone Number
315-342-9575
Fax Number
Provider Enumeration Date
01/30/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
159 W 1St St
City
Oswego
State
New York
Zip
13126-2045
Phone Number
315-342-9575
Fax Number
person
Provider Business Mailing Address Details
Address
159 W 1St St
City
Oswego
State
New York
Zip
13126-2045
Phone Number
315-342-9575
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
2535489 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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