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1073131736
LANNA M BACKEN
RAPID CITY, SD
NPI
1073131736
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-07-09
Last Update Date
2020-07-23
Business Address
LANNA M BACKEN BS ACT
1520 HAINES AVE STE 6
RAPID CITY, SD 57701-0710
Phone number: 605-716-7841
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Mailing Address
LANNA M BACKEN BS ACT
1520 HAINES AVE STE 6
RAPID CITY, SD 57701-0710
Phone number: 605-716-7841
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