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1568106342
WILLIAM J BACA
ALBUQUERQUE, NM
NPI
1568106342
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
(Licence: NM 1344)
Enumeration Date
2022-04-26
Last Update Date
2022-04-26
Business Address
WILLIAM J BACA CPSW
320 OSUNA RD NE STE H4
ALBUQUERQUE, NM 87107-5955
Phone number: 505-345-2778
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Mailing Address
WILLIAM J BACA CPSW
5823 AVENIDA LA BARRANCA NW
ALBUQUERQUE, NM 87114-4823
Phone number: 505-261-1617
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