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1487103370
BRYAN M BACA
EL PASO, TX
NPI
1487103370
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP131880)
Enumeration Date
2016-10-03
Last Update Date
2022-02-09
Business Address
Mr. BRYAN M BACA MSN
6211 EDGEMERE BLVD SUITE 1
EL PASO, TX 79925-3413
Phone number: 915-881-8264
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Mailing Address
Mr. BRYAN M BACA MSN
10640 GATEWAY BLVD N SUITE B
EL PASO, TX 79924-1700
Phone number: 915-307-4936
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