Mr. Michel Lars Bacon
Mr. Michel Lars Bacon is a Developmentally Disabled Services Day Training Agency in Cheyenne, Wyoming. Practices as a sole proprietor. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
102 W 27th StCheyenne, WY 82001-3041
Phone: (307) 529-0164
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Specialties & licences
| Developmentally Disabled Services Day Training Agency (primary) | Taxonomy 251C00000X |
|---|
Record details
| NPI number | 1205132586 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 2, 2011 |
| Last updated in NPPES | February 2, 2011 |
| Mailing address | 102 W 27th St, Cheyenne, WY 82001-3041 |
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