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1265765010
JOSEPH BACA
ALBUQUERQUE, NM
NPI
1265765010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: NM RP00003612)
Enumeration Date
2009-09-11
Last Update Date
2009-09-11
Business Address
-- JOSEPH BACA
1201 UNSER BLVD NW
ALBUQUERQUE, NM 87121-7872
Phone number: 505-831-5094
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Mailing Address
-- JOSEPH BACA
1201 UNSER BLVD SW
ALBUQUERQUE, NM 87121
Phone number: 505-831-5094
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