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1578965356
ERMELINDA BACA
BELEN, NM
NPI
1578965356
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: NM DH363)
Enumeration Date
2014-09-23
Last Update Date
2014-09-23
Business Address
-- ERMELINDA BACA
1501 E RIVER RD
BELEN, NM 87002-7429
Phone number: 505-864-6969
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Mailing Address
-- ERMELINDA BACA
1501 E RIVER RD
BELEN, NM 87002-7429
Phone number: 505-864-6969
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