GERALD KELTON BACKUS

CANOGA PARK, CA
NPI1114464732
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2017-01-20
Last Update Date2017-01-20
Business Address
-- GERALD KELTON BACKUS
6800 OWENSMOUTH AVE
CANOGA PARK, CA 91303-3159
Phone number: 818-610-6726
Mailing Address
-- GERALD KELTON BACKUS
6800 OWENSMOUTH AVE
CANOGA PARK, CA 91303-3159
Phone number:
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