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1174115976
JOHN MATTHEW BACKLUND
WHEAT RIDGE, CO
NPI
1174115976
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CO RN.1619744)
Enumeration Date
2021-02-03
Last Update Date
2021-02-03
Business Address
JOHN MATTHEW BACKLUND RN
4851 INDEPENDENCE ST
WHEAT RIDGE, CO 80033-6715
Phone number: 303-425-0300
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Mailing Address
JOHN MATTHEW BACKLUND RN
4851 INDEPENDENCE ST
WHEAT RIDGE, CO 80033-6715
Phone number: 303-425-0300
Copy
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