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1740832401
DIANNA L BACA
ALBUQUERQUE, NM
NPI
1740832401
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NM 56811)
Enumeration Date
2019-07-12
Last Update Date
2019-07-12
Business Address
DIANNA L BACA FNP-C
400 TIJERAS AVE NW STE 200
ALBUQUERQUE, NM 87102-3252
Phone number: 888-562-5442
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Mailing Address
DIANNA L BACA FNP-C
400 TIJERAS AVE NW STE 200
ALBUQUERQUE, NM 87102-3252
Phone number: 505-681-1545
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