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1225646193
ALYSSA KRISTINE BACA
EL PASO, TX
NPI
1225646193
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: TX DT85398)
Enumeration Date
2020-07-16
Last Update Date
2020-07-16
Business Address
ALYSSA KRISTINE BACA MS, RD. LD
5001 N PIEDRAS ST
EL PASO, TX 79930-4210
Phone number: 915-491-0636
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Mailing Address
ALYSSA KRISTINE BACA MS, RD. LD
14311 ALMA POINT DR
EL PASO, TX 79938-2753
Phone number: 915-491-0636
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