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Individual
MR. RAFAEL BACA
Active
Individual
MR. RAFAEL BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.A.
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
11/05/2013
Last updated
05/06/2015
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