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1548904022
CHRISTOPHER GLENN BACAK
EL PASO, TX
NPI
1548904022
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: TX BP10081683)
Enumeration Date
2022-04-21
Last Update Date
2022-07-20
Business Address
CHRISTOPHER GLENN BACAK MD
4801 ALBERTA AVE
EL PASO, TX 79905-2707
Phone number: 915-215-4360
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Mailing Address
CHRISTOPHER GLENN BACAK MD
4801 ALBERTA AVE
EL PASO, TX 79905-2707
Phone number: 915-215-5700
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