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1275923302
ANTHONY RAY BACA
PLANO, TX
NPI
1275923302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: TX AP127329)
Enumeration Date
2015-01-27
Last Update Date
2015-01-27
Business Address
Mr. ANTHONY RAY BACA AG-ACNP
3901 W 15TH ST
PLANO, TX 75075-7738
Phone number: 817-428-6474
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Mailing Address
Mr. ANTHONY RAY BACA AG-ACNP
7029 RIDGE LINE DR
NORTH RICHLAND HILLS, TX 76182-7829
Phone number: 817-428-6474
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