VINCENT PAUL BACA

ALBUQUERQUE, NM
NPI1275127581
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
(Licence: NM  979)
Additional Taxonomies175T00000X Peer Specialist
Enumeration Date2021-02-26
Last Update Date2021-02-26
Business Address
VINCENT PAUL BACA CPSW
9201 MONTGOMERY BLVD NE # 5
ALBUQUERQUE, NM 87111-2468
Phone number: 505-217-1717
Mailing Address
VINCENT PAUL BACA CPSW
9201 MONTGOMERY BLVD NE # 5
ALBUQUERQUE, NM 87111-2468
Phone number: 505-217-1717
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