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1477107241
SHEILA MARIE BACA
FARMINGTON, NM
NPI
1477107241
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NM PTA-1422)
Enumeration Date
2019-07-30
Last Update Date
2019-07-30
Business Address
Mrs. SHEILA MARIE BACA PTA
3701 MESSINA DR STE 108
FARMINGTON, NM 87402-4780
Phone number: 505-258-4003
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Mailing Address
Mrs. SHEILA MARIE BACA PTA
3701 MESSINA DR STE 108
FARMINGTON, NM 87402-4780
Phone number: 505-258-4003
Copy
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