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1427661032
DAVID JAMESON BACA
CHEYENNE, WY
NPI
1427661032
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: WY 4652)
Enumeration Date
2020-08-25
Last Update Date
2020-08-25
Business Address
DAVID JAMESON BACA Pharm. D.
580 LIVINGSTON AVE
CHEYENNE, WY 82007-1966
Phone number: 307-823-6812
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Mailing Address
DAVID JAMESON BACA Pharm. D.
670 1/2 N 11TH ST
LARAMIE, WY 82072-2740
Phone number: 562-309-5670
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