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1104914852
JUANITA C BACA
ALBUQUERQUE, NM
NPI
1104914852
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: NM 74481)
Enumeration Date
2006-10-10
Last Update Date
2007-07-08
Business Address
MRS. JUANITA C BACA LPC
7027 MONTGOMERY BLVD NE STE F
ALBUQUERQUE, NM 87109-1589
Phone number: 505-880-0100
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Mailing Address
MRS. JUANITA C BACA LPC
7027 MONTGOMERY BLVD NE STE F
ALBUQUERQUE, NM 87109-1589
Phone number: 505-880-0100
Copy
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