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1366432775
GEORGE CLIFFORD BAACKE
SHIPROCK, NM
NPI
1366432775
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: PA 026500E)
Enumeration Date
2005-10-26
Last Update Date
2019-05-03
Business Address
GEORGE CLIFFORD BAACKE MD
US HWY 491 NORTH
SHIPROCK, NM 87420
Phone number: 505-368-6001
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Mailing Address
GEORGE CLIFFORD BAACKE MD
PO BOX 160
SHIPROCK, NM 87420-0160
Phone number: 505-368-6001
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