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1457721599
ANDREA BACA
PUEBLO, CO
NPI
1457721599
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CO LPC.0013938)
Enumeration Date
2015-10-01
Last Update Date
2018-08-20
Business Address
ANDREA BACA
1310 CHINOOK LN
PUEBLO, CO 81001
Phone number: 719-545-2746
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Mailing Address
ANDREA BACA
1310 CHINOOK LN
PUEBLO, CO 81001-1851
Phone number:
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