STEVEN MICHAEL BACA

PHOENIX, AZ
NPI1164799193
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AZ  0899)
Enumeration Date2011-11-18
Last Update Date2015-11-23
Business Address
Mr. STEVEN MICHAEL BACA A.T.
16440 S 32ND ST
PHOENIX, AZ 85048-7807
Phone number: 928-699-5399
Mailing Address
Mr. STEVEN MICHAEL BACA A.T.
16440 S 32ND ST
PHOENIX, AZ 85048-7807
Phone number:
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