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1235294091
CHRISTIE ANN BACA
LAS VEGAS, NM
NPI
1235294091
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: NM DH1103)
Enumeration Date
2006-12-22
Last Update Date
2007-07-08
Business Address
Mrs. CHRISTIE ANN BACA RDH
925 MILLS AVE
LAS VEGAS, NM 87701-4047
Phone number: 505-454-8483
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Mailing Address
Mrs. CHRISTIE ANN BACA RDH
925 MILLS AVE
LAS VEGAS, NM 87701-4047
Phone number: 505-454-8483
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