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1215168257
STEPHANIE L BACA
ALBUQUERQUE, NM
NPI
1215168257
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NM 3533)
Enumeration Date
2009-08-06
Last Update Date
2021-12-02
Business Address
STEPHANIE L BACA PT
1612 RIDGECREST DR SE
ALBUQUERQUE, NM 87108-4437
Phone number: 505-250-7049
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Mailing Address
STEPHANIE L BACA PT
1612 RIDGECREST DR SE
ALBUQUERQUE, NM 87108-4437
Phone number: 505-250-7049
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