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1477908168
AMANDA J BACA
GREELEY, CO
NPI
1477908168
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2016-04-29
Last Update Date
2016-04-29
Business Address
-- AMANDA J BACA
1309 10TH AVE
GREELEY, CO 80631-3832
Phone number: 970-347-2120
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Mailing Address
-- AMANDA J BACA
1300 N 17TH AVE
GREELEY, CO 80631-9584
Phone number: 970-347-2120
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