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1811102825
JANET C'DE BACA
ALBUQUERQUE, NM
NPI
1811102825
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: NM 0832)
Enumeration Date
2007-05-12
Last Update Date
2007-07-08
Business Address
Dr. JANET C'DE BACA Ph.D.
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108-5153
Phone number: 505-265-1711
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Mailing Address
Dr. JANET C'DE BACA Ph.D.
457 ASBURY RD NE
RIO RANCHO, NM 87124-5632
Phone number: 505-994-1094
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