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1043857410
ELIZABETH F BACA
ALBUQUERQUE, NM
NPI
1043857410
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: NM RN-72148)
Enumeration Date
2019-12-04
Last Update Date
2023-11-17
Business Address
ELIZABETH F BACA
2502 MARBLE AVE
ALBUQUERQUE, NM 87131-0001
Phone number: 800-690-0934
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Mailing Address
ELIZABETH F BACA
1704 STAGECOACH RD SE
ALBUQUERQUE, NM 87123-4439
Phone number: 505-712-6592
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