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1427444959
CRISTINA ANN BACA
LAS CRUCES, NM
NPI
1427444959
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2015-04-10
Last Update Date
2015-04-10
Business Address
CRISTINA ANN BACA
1181 MALL DR
LAS CRUCES, NM 88011-8105
Phone number: 575-522-0766
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Mailing Address
CRISTINA ANN BACA
1181 MALL DR
LAS CRUCES, NM 88011-8105
Phone number: 575-522-0766
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