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1790982643
RANDOLPH P BACA
ALBUQUERQUE, NM
NPI
1790982643
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NM AG3361893-B416)
Enumeration Date
2007-07-02
Last Update Date
2023-08-29
Business Address
Dr. RANDOLPH P BACA MD
1003 LUNA CIR NW
ALBUQUERQUE, NM 87102-1973
Phone number: 505-504-5505
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Mailing Address
Dr. RANDOLPH P BACA MD
PO BOX 95602
ALBUQUERQUE, NM 87199
Phone number: 505-504-5505
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