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1033992359
REBECCA BACA
FLAGSTAFF, AZ
NPI
1033992359
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WS0200X Registered Nurse, School
(Licence: AZ RN184281)
Enumeration Date
2023-08-18
Last Update Date
2023-08-18
Business Address
REBECCA BACA
3285 E SPARROW AVE
FLAGSTAFF, AZ 86004-7794
Phone number: 928-773-8252
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Mailing Address
REBECCA BACA
3285 E SPARROW AVE
FLAGSTAFF, AZ 86004-7794
Phone number: 928-773-8252
Copy
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