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1730632456
BETHANY BACA
ALBUQUERQUE, NM
NPI
1730632456
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
373H00000X Day Training/Habilitation Specialist
(Licence: NM 500664169)
Enumeration Date
2016-07-28
Last Update Date
2016-07-28
Business Address
-- BETHANY BACA
1636 COLUMBIA DR SE
ALBUQUERQUE, NM 87106-3302
Phone number: 505-907-1583
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Mailing Address
-- BETHANY BACA
1636 COLUMBIA DR SE
ALBUQUERQUE, NM 87106-3302
Phone number: 505-907-1583
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