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1811521255
SUZETTE BACA
ALBUQUERQUE, NM
NPI
1811521255
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Former Name
SUZETTE BACA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NM 59828)
Enumeration Date
2020-02-25
Last Update Date
2021-12-29
Business Address
SUZETTE BACA
2921 CARLISLE BLVD NE STE 125
ALBUQUERQUE, NM 87110-2865
Phone number: 505-554-1659
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Mailing Address
SUZETTE BACA
2921 CARLISLE BLVD NE STE 125
ALBUQUERQUE, NM 87110-2865
Phone number: 505-554-1659
Copy
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