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1548488174
JOSEPHINE BACA
PARKER, CO
NPI
1548488174
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: CO 904868)
Enumeration Date
2007-04-20
Last Update Date
2007-07-08
Business Address
-- JOSEPHINE BACA
18721 PONDEROSA DR
PARKER, CO 80134-8824
Phone number: 303-805-4655
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Mailing Address
-- JOSEPHINE BACA
18721 PONDEROSA DR
PARKER, CO 80134-8824
Phone number: 303-805-4655
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