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1871957548
EDWARD BACA
LAS VEGAS, NM
NPI
1871957548
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: NM 0149351)
Enumeration Date
2016-04-08
Last Update Date
2016-04-08
Business Address
EDWARD BACA LPCC
700 FRIEDMAN AVE 3695 HOT SPRINGS BLVD
LAS VEGAS, NM 87701-4231
Phone number: 505-454-5120
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Mailing Address
EDWARD BACA LPCC
700 FRIEDMAN AVE 3695 HOT SPRINGS BLVD
LAS VEGAS, NM 87701-4231
Phone number: 505-454-5120
Copy
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