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Individual
BRYAN JAMES BACA
Active
Individual
BRYAN JAMES BACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AL4461
FL
2255A2300X
Athletic Trainer
Primary
AT5461
TX
2255A2300X
Athletic Trainer
AT667
NM
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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