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1063572162
GILBERT RUSSELL BACKUS
BOARDMAN, OH
NPI
1063572162
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OH 30013429)
Enumeration Date
2006-12-11
Last Update Date
2007-07-08
Business Address
Dr. GILBERT RUSSELL BACKUS DDS
810 BOARDMAN CANFIELD RD
BOARDMAN, OH 44512-4200
Phone number: 330-758-7931
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Mailing Address
Dr. GILBERT RUSSELL BACKUS DDS
810 BOARDMAN CANFIELD RD
BOARDMAN, OH 44512-4200
Phone number: 330-758-7931
Copy
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