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1588341937
KIRSTEN D BACA
PUEBLO, CO
NPI
1588341937
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2023-06-28
Last Update Date
2023-06-28
Business Address
KIRSTEN D BACA
1517 E 6TH ST
PUEBLO, CO 81001-3231
Phone number: 719-565-7104
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Mailing Address
KIRSTEN D BACA
PO BOX 245
FORT THOMPSON, SD 57339-0245
Phone number:
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