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1386658094
PATRICK J C DE BACA
CLAYTON, NM
NPI
1386658094
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: MI 4301044788)
Enumeration Date
2006-07-28
Last Update Date
2010-08-16
Business Address
-- PATRICK J C DE BACA M.D.
315 N 3RD AVE
CLAYTON, NM 88415-3300
Phone number: 575-374-2273
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Mailing Address
-- PATRICK J C DE BACA M.D.
315 N 3RD AVE
CLAYTON, NM 88415-3300
Phone number: 575-374-2273
Copy
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