Ruby Bacon
Ruby Bacon is a Case Manager/Care Coordinator in Provo, Utah. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
750 N Freedom BlvdProvo, UT 84601
Phone: (801) 373-4760
Fax: (801) 373-0639
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1376069187 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 15, 2017 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | 750 N Freedom Blvd, Provo, UT 84601-1677 |
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750 N Freedom Blvd Ste 300, Provo, UT 84601-1690 · (801) 373-4760