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1043684855
LISA BACKE
COLUMBIA, MD
NPI
1043684855
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: VA 0001201705)
Enumeration Date
2015-11-17
Last Update Date
2015-11-17
Business Address
LISA BACKE
7055 SAMUEL MORSE DR SUITE 200
COLUMBIA, MD 21046-3439
Phone number: 410-910-6700
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Mailing Address
LISA BACKE
7055 SAMUEL MORSE DR SUITE 200
COLUMBIA, MD 21046-3439
Phone number: 410-910-6700
Copy
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