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1801863410
PHILIP MARTIN BACA
ALBUQUERQUE, NM
NPI
1801863410
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NM 2401)
Enumeration Date
2006-03-02
Last Update Date
2013-08-20
Business Address
Mr. PHILIP MARTIN BACA P.T.
7424 HOLLY AVE. NE
ALBUQUERQUE, NM 87113
Phone number: 505-797-5505
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Mailing Address
Mr. PHILIP MARTIN BACA P.T.
8100 M4 WYOMING BLVD. NE #261
ALBUQUERQUE, NM 87113-1956
Phone number: 505-797-5505
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