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1659504728
SAMANTHA BACA
ALBUQUERQUE, NM
NPI
1659504728
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NM PA2014-0073)
Enumeration Date
2009-08-24
Last Update Date
2023-09-22
Business Address
SAMANTHA BACA P.A.-C.
1821 CARLISLE BLVD NE
ALBUQUERQUE, NM 87110-4905
Phone number: 505-255-1228
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Mailing Address
SAMANTHA BACA P.A.-C.
PO BOX 6310
LAS CRUCES, NM 88006-6310
Phone number: 575-556-5960
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