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1104248277
LEONA BACKUS
FORT MYERS, FL
NPI
1104248277
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2014-01-09
Last Update Date
2014-01-09
Business Address
-- LEONA BACKUS
2789 ORTIZ AVE
FORT MYERS, FL 33905-7806
Phone number: 239-275-3222
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Mailing Address
-- LEONA BACKUS
9440 IVY BROOK RUN #509
FORT MYERS, FL 33913-7759
Phone number: 202-579-2079
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