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1053909119
JENNIFER ALISON BACKUS
SAINT LOUIS, MO
NPI
1053909119
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: 86152523)
Enumeration Date
2021-01-05
Last Update Date
2021-01-05
Business Address
JENNIFER ALISON BACKUS RD
317 EUCLID AVE
SAINT LOUIS, MO 63119-1615
Phone number: 414-430-0434
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Mailing Address
JENNIFER ALISON BACKUS RD
317 EUCLID AVE
SAINT LOUIS, MO 63119-1615
Phone number: 414-430-0434
Copy
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